37D0684534 CLIA NUMBER - RUTH WILSON HURLEY MANOR COAL COUNTY EXTENDED CARE, INC

Laboratory Demographics

  • CLIA Code: 37D0684534
  • Facility Name: RUTH WILSON HURLEY MANOR COAL COUNTY EXTENDED CARE, INC
  • Facility Address: 7 N COVINGTON ST
    COALGATE, OK
    ZIP 74538
  • Facility Phone: (580) 927-2377
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RICHARD J. HELTON
  • NPI Number: 1639178130
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D0684534
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RUTH WILSON HURLEY MANOR COAL COUNTY EXTENDED CARE, INC
Street 7 N COVINGTON ST
City COALGATE
State OK
ZIP 74538
Phone 5809272377
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 RICHARD J. HELTON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026