37D0472216 CLIA NUMBER - JACKSON COUNTY MEMORIAL HOSP HOME CARE

Laboratory Demographics

  • CLIA Code: 37D0472216
  • Facility Name: JACKSON COUNTY MEMORIAL HOSP HOME CARE
  • Facility Address: 1204 E TAMARACK
    ALTUS, OK
    ZIP 73521
  • Facility Phone: 580 481-2320
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SALLIE FANNING

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CLIA Record

Field Name Field Value
CLIA Number 37D0472216
LAB Type Home Health Agency
Facility Name JACKSON COUNTY MEMORIAL HOSP HOME CARE
Street 1204 E TAMARACK
City ALTUS
State OK
ZIP 73521
Phone 580 481-2320
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 Home Health Agency
Lab Director SALLIE FANNING

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