37D0881705 CLIA NUMBER - APEX HOSPICE PENTATWO LLC

Laboratory Demographics

  • CLIA Code: 37D0881705
  • Facility Name: APEX HOSPICE PENTATWO LLC
  • Facility Address: 8241 S WALKER, #152
    OKLAHOMA CITY, OK
    ZIP 73139
  • Facility Phone: 405 525-0118
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MIKE CHARBONEAU
  • NPI Number: 1730283953
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D0881705
LAB Type Hospice
Facility Name APEX HOSPICE PENTATWO LLC
Street 8241 S WALKER, #152
City OKLAHOMA CITY
State OK
ZIP 73139
Phone 405 525-0118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2024
Certificate Expiration Date 1/16/2026
Facility Type Hospice
Lab Director MIKE CHARBONEAU

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