37D0865499 CLIA NUMBER - MED-CORP HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 37D0865499
  • Facility Name: MED-CORP HOME HEALTH, INC
  • Facility Address: 3310 CHANDLER ROAD
    MUSKOGEE, OK
    ZIP 74403
  • Facility Phone: 918 687-8033
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALFRED D. EZELL
  • NPI Number: 1619089257
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D0865499
LAB Type Home Health Agency
Facility Name MED-CORP HOME HEALTH, INC
Street 3310 CHANDLER ROAD
City MUSKOGEE
State OK
ZIP 74403
Phone 918 687-8033
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 Home Health Agency
Lab Director ALFRED D. EZELL

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