37D0656674 CLIA NUMBER - SEQUOYAH POINTE LIVING CENTER CONHOLD OF OWASSO, LLC

Laboratory Demographics

  • CLIA Code: 37D0656674
  • Facility Name: SEQUOYAH POINTE LIVING CENTER CONHOLD OF OWASSO, LLC
  • Facility Address: 8515 N 123RD EAST AVE
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 272-5151
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMIE K. SULLIVAN
  • NPI Number: 1649351230
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0656674
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SEQUOYAH POINTE LIVING CENTER CONHOLD OF OWASSO, LLC
Street 8515 N 123RD EAST AVE
City OWASSO
State OK
ZIP 74055
Phone 918 272-5151
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 JAMIE K. SULLIVAN

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