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37D0683020 CLIA NUMBER - RELIANT LIVING CENTER

Laboratory Demographics

CLIA Number: 37D0683020

Facility Name: RELIANT LIVING CENTER

Facility Address:
2901 SE 22ND ST
OKLAHOMA CITY, OK
ZIP 73129
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Facility Phone Number: 405 677-0502

Facility Type: Intermediate Care Facility for Mentally Retarded

Certificate Type: Waiver
NPI Number: 1780720045

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 37D0683020
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name RELIANT LIVING CENTER
Street 2901 SE 22ND ST
City OKLAHOMA CITY
State OK
ZIP 73129
Phone 405 677-0502
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024