37D0473210 CLIA NUMBER - MEDICALODGES DEWEY

Laboratory Demographics

  • CLIA Code: 37D0473210
  • Facility Name: MEDICALODGES DEWEY
  • Facility Address: 430 BARTLES ROAD
    DEWEY, OK
    ZIP 74029
  • Facility Phone: 918 534-2848
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE BEAN
  • NPI Number: 1851472922
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0473210
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEDICALODGES DEWEY
Street 430 BARTLES ROAD
City DEWEY
State OK
ZIP 74029
Phone 918 534-2848
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 STEPHANIE BEAN

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