37D0670481 CLIA NUMBER - MEADOWLAKE ESTATES

Laboratory Demographics

  • CLIA Code: 37D0670481
  • Facility Name: MEADOWLAKE ESTATES
  • Facility Address: 959 SW 107TH STREET
    OKLAHOMA CITY, OK
    ZIP 73170
  • Facility Phone: (405) 703-3400
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID HARDY
  • NPI Number: 1801866074
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0670481
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADOWLAKE ESTATES
Street 959 SW 107TH STREET
City OKLAHOMA CITY
State OK
ZIP 73170
Phone 4057033400
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 DAVID HARDY

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This page was last updated on: 5/18/2026