37D0672211 CLIA NUMBER - SHATTUCK NURSING CENTER

Laboratory Demographics

  • CLIA Code: 37D0672211
  • Facility Name: SHATTUCK NURSING CENTER
  • Facility Address: 211 N ALFALFA
    SHATTUCK, OK
    ZIP 73858
  • Facility Phone: 580 938-2501
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GLENNELL A. KUHLMAN
  • NPI Number: 1710062179
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0672211
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHATTUCK NURSING CENTER
Street 211 N ALFALFA
City SHATTUCK
State OK
ZIP 73858
Phone 580 938-2501
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 GLENNELL A. KUHLMAN

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