37D0669930 CLIA NUMBER - SPANISH COVE RETIREMENT VILLAGE

Laboratory Demographics

  • CLIA Code: 37D0669930
  • Facility Name: SPANISH COVE RETIREMENT VILLAGE
  • Facility Address: 11 PALM AVE
    YUKON, OK
    ZIP 73099
  • Facility Phone: 405 350-5101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHERYL L. O NEILL
  • NPI Number: 1982947172
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0669930
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SPANISH COVE RETIREMENT VILLAGE
Street 11 PALM AVE
City YUKON
State OK
ZIP 73099
Phone 405 350-5101
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 CHERYL L. O NEILL

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