37D0471655 CLIA NUMBER - EPWORTH VILLA HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 37D0471655
  • Facility Name: EPWORTH VILLA HEALTH SERVICES
  • Facility Address: 14901 N PENNSYLVANIA
    OKLAHOMA CITY, OK
    ZIP 73134
  • Facility Phone: 405 486-1356
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MIA P. OWEN
  • NPI Number: 1114922598
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0471655
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EPWORTH VILLA HEALTH SERVICES
Street 14901 N PENNSYLVANIA
City OKLAHOMA CITY
State OK
ZIP 73134
Phone 405 486-1356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MIA P. OWEN

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This page was last updated on: 9/29/2025