37D0473057 CLIA NUMBER - FRANCISCAN VILLA

Laboratory Demographics

  • CLIA Code: 37D0473057
  • Facility Name: FRANCISCAN VILLA
  • Facility Address: 17110 E 51ST STREET
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 355-1596
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CRYSTAL GORMLEY
  • NPI Number: 1750768966
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0473057
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FRANCISCAN VILLA
Street 17110 E 51ST STREET
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 355-1596
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 CRYSTAL GORMLEY

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