37D0473209 CLIA NUMBER - FORREST MANOR NURSING HM

Laboratory Demographics

  • CLIA Code: 37D0473209
  • Facility Name: FORREST MANOR NURSING HM
  • Facility Address: 1410 N CHOCTAW
    DEWEY, OK
    ZIP 74029
  • Facility Phone: 918 534-3355
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANNA E. HARRIS
  • NPI Number: 1427088129
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0473209
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FORREST MANOR NURSING HM
Street 1410 N CHOCTAW
City DEWEY
State OK
ZIP 74029
Phone 918 534-3355
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 DANNA E. HARRIS

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