37D0671997 CLIA NUMBER - HERITAGE PARK

Laboratory Demographics

  • CLIA Code: 37D0671997
  • Facility Name: HERITAGE PARK
  • Facility Address: 6912 NW 23
    BETHANY, OK
    ZIP 73008
  • Facility Phone: 405 789-7208
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARCHETTA STEELMAN
  • NPI Number: 1659317527
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0671997
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE PARK
Street 6912 NW 23
City BETHANY
State OK
ZIP 73008
Phone 405 789-7208
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 MARCHETTA STEELMAN

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