37D0889431 CLIA NUMBER - TOWN OF VICI NURSING HOME AUTHORITY

Laboratory Demographics

  • CLIA Code: 37D0889431
  • Facility Name: TOWN OF VICI NURSING HOME AUTHORITY
  • Facility Address: 619 SPECK
    VICI, OK
    ZIP 73859
  • Facility Phone: 580 995-4216
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BETTY J. WHITTINGTON
  • NPI Number: 1689664716
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0889431
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TOWN OF VICI NURSING HOME AUTHORITY
Street 619 SPECK
City VICI
State OK
ZIP 73859
Phone 580 995-4216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BETTY J. WHITTINGTON

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