37D0673979 CLIA NUMBER - LATIMER NURSING HOME

Laboratory Demographics

  • CLIA Code: 37D0673979
  • Facility Name: LATIMER NURSING HOME
  • Facility Address: 103 SW 9TH PO BOX 508
    WILBURTON, OK
    ZIP 74578
  • Facility Phone: 918 465-2255
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DEBBIE R. BASDEN
  • NPI Number: 1881802569
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0673979
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LATIMER NURSING HOME
Street 103 SW 9TH PO BOX 508
City WILBURTON
State OK
ZIP 74578
Phone 918 465-2255
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 DEBBIE R. BASDEN

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