37D0475204 CLIA NUMBER - HILLCREST HOSPITAL/HENRYETTA

Laboratory Demographics

CLIA Number: 37D0475204

Facility Name: HILLCREST HOSPITAL/HENRYETTA

Facility Address:
2401 W MAIN ST
HENRYETTA, OK
ZIP 74437
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Facility Phone Number: 918 650-1321

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1114004926

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 37D0475204
LAB Type Hospital
Facility Name HILLCREST HOSPITAL/HENRYETTA
Street 2401 W MAIN ST
City HENRYETTA
State OK
ZIP 74437
Phone 918 650-1321
CertificateType 2
CertificateEffectiveDate 12/19/2023
CertificateExpirationDate 12/18/2025
FacilityType Compliance

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This page was last updated on: 4/23/2024