37D0683792 CLIA NUMBER - EASTWOOD MANOR NURSING CENTER, LLC

Laboratory Demographics

  • CLIA Code: 37D0683792
  • Facility Name: EASTWOOD MANOR NURSING CENTER, LLC
  • Facility Address: 6TH & HIGHWAY 69
    COMMERCE, OK
    ZIP 74339
  • Facility Phone: 918 675-4455
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAMELA C. COZORT
  • NPI Number: 1417058470
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0683792
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name EASTWOOD MANOR NURSING CENTER, LLC
Street 6TH & HIGHWAY 69
City COMMERCE
State OK
ZIP 74339
Phone 918 675-4455
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 PAMELA C. COZORT

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