37D0666269 CLIA NUMBER - UNIVERSITY PARK SKILLED NURSING AND THERAPY MC

Laboratory Demographics

  • CLIA Code: 37D0666269
  • Facility Name: UNIVERSITY PARK SKILLED NURSING AND THERAPY MC
  • Facility Address: 1201 N VINITA AVE
    TAHLEQUAH, OK
    ZIP 74465
  • Facility Phone: 918 456-6181
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOANNA WALKER
  • NPI Number: 1487759023
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0666269
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UNIVERSITY PARK SKILLED NURSING AND THERAPY MC
Street 1201 N VINITA AVE
City TAHLEQUAH
State OK
ZIP 74465
Phone 918 456-6181
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 JOANNA WALKER

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