37D0475587 CLIA NUMBER - WILLOW HAVEN NURSING HOME

Laboratory Demographics

  • CLIA Code: 37D0475587
  • Facility Name: WILLOW HAVEN NURSING HOME
  • Facility Address: 1301 N 5TH
    TONKAWA, OK
    ZIP 74653
  • Facility Phone: 580 628-2529
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHARITY L. CASEY
  • NPI Number: 1386631398
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0475587
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLOW HAVEN NURSING HOME
Street 1301 N 5TH
City TONKAWA
State OK
ZIP 74653
Phone 580 628-2529
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 CHARITY L. CASEY

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