37D0670462 CLIA NUMBER - HEAVENER MANOR

Laboratory Demographics

  • CLIA Code: 37D0670462
  • Facility Name: HEAVENER MANOR
  • Facility Address: 114 WEST 2ND STREET
    HEAVENER, OK
    ZIP 74937
  • Facility Phone: 918 653-2464
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ANNETTE RAMSEY
  • NPI Number: 1750723458
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 37D0670462
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEAVENER MANOR
Street 114 WEST 2ND STREET
City HEAVENER
State OK
ZIP 74937
Phone 918 653-2464
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 ANNETTE RAMSEY

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