37D0673095 CLIA NUMBER - BROADWAY CARE & REHAB CENTER

Laboratory Demographics

  • CLIA Code: 37D0673095
  • Facility Name: BROADWAY CARE & REHAB CENTER
  • Facility Address: 1622 E BROADWAY
    MUSKOGEE, OK
    ZIP 74403
  • Facility Phone: 918 683-2851
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BRITTONEY J. JACKSON
  • NPI Number: 1952758294
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0673095
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROADWAY CARE & REHAB CENTER
Street 1622 E BROADWAY
City MUSKOGEE
State OK
ZIP 74403
Phone 918 683-2851
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 BRITTONEY J. JACKSON

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