37D0664583 CLIA NUMBER - ENID SENIOR CARE SENIOR NH, LLC

Laboratory Demographics

  • CLIA Code: 37D0664583
  • Facility Name: ENID SENIOR CARE SENIOR NH, LLC
  • Facility Address: 410 N 30TH
    ENID, OK
    ZIP 73701
  • Facility Phone: 580 237-1973
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: THOMAS LUISKUTTY
  • NPI Number: 1184798225
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0664583
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ENID SENIOR CARE SENIOR NH, LLC
Street 410 N 30TH
City ENID
State OK
ZIP 73701
Phone 580 237-1973
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 THOMAS LUISKUTTY

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