37D0689311 CLIA NUMBER - OSAGE NURSING HOME

Laboratory Demographics

  • CLIA Code: 37D0689311
  • Facility Name: OSAGE NURSING HOME
  • Facility Address: 822 W OSAGE AVE
    NOWATA, OK
    ZIP 74048
  • Facility Phone: (918) 273-2012
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT C. LARSON
  • NPI Number: 1447358965
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0689311
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name OSAGE NURSING HOME
Street 822 W OSAGE AVE
City NOWATA
State OK
ZIP 74048
Phone 9182732012
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 ROBERT C. LARSON

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