37D0670357 CLIA NUMBER - PARKLAND MANOR

Laboratory Demographics

  • CLIA Code: 37D0670357
  • Facility Name: PARKLAND MANOR
  • Facility Address: 922 PARKLAND AVE
    PRAGUE, OK
    ZIP 74864
  • Facility Phone: 405 567-2201
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JULIE R. JUSTICE
  • NPI Number: 1376542902
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0670357
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARKLAND MANOR
Street 922 PARKLAND AVE
City PRAGUE
State OK
ZIP 74864
Phone 405 567-2201
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 JULIE R. JUSTICE

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This page was last updated on: 3/20/2025