37D0707492 CLIA NUMBER - SEQUOYAH MANOR LLC

Laboratory Demographics

  • CLIA Code: 37D0707492
  • Facility Name: SEQUOYAH MANOR LLC
  • Facility Address: 615 E REDWOOD AVE
    SALLISAW, OK
    ZIP 74955
  • Facility Phone: 918 775-4881
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DONNA SKEENS
  • NPI Number: 1255444139
  • Taxonomy: 282NR1301X - General Acute Care Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D0707492
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SEQUOYAH MANOR LLC
Street 615 E REDWOOD AVE
City SALLISAW
State OK
ZIP 74955
Phone 918 775-4881
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 DONNA SKEENS

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: 9/29/2025