37D0476067 CLIA NUMBER - MEMORIAL HOSPITAL

Laboratory Demographics

CLIA Number: 37D0476067

Facility Name: MEMORIAL HOSPITAL

Facility Address:
1401 W LOCUST ST
STILWELL, OK
ZIP 74960
Get Directions

Facility Phone Number: 918 696-3101

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1346219474

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	37D0476067
LAB Type	Hospital
Facility Name	MEMORIAL HOSPITAL
Street	1401 W LOCUST ST
City	STILWELL
State	OK
ZIP	74960
Phone	918 696-3101
CertificateType	2
CertificateEffectiveDate	1/19/2023
CertificateExpirationDate	1/18/2025
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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