37D0880139 CLIA NUMBER - ASSURED HOME HEALTH OF CLINTON CLINTON HOME HEALTH & HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 37D0880139
  • Facility Name: ASSURED HOME HEALTH OF CLINTON CLINTON HOME HEALTH & HOSPICE, LLC
  • Facility Address: 514 AVANT AVE
    CLINTON, OK
    ZIP 73601
  • Facility Phone: 580 323-0277
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: PEGGY RENNELS
  • NPI Number: 1487184412
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0880139
LAB Type Home Health Agency
Facility Name ASSURED HOME HEALTH OF CLINTON CLINTON HOME HEALTH & HOSPICE, LLC
Street 514 AVANT AVE
City CLINTON
State OK
ZIP 73601
Phone 580 323-0277
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Home Health Agency
Lab Director PEGGY RENNELS

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