37D0897659 CLIA NUMBER - CHEROKEE COUNTY NURSING CENTER INC

Laboratory Demographics

  • CLIA Code: 37D0897659
  • Facility Name: CHEROKEE COUNTY NURSING CENTER INC
  • Facility Address: 1504 NORTH CEDAR AVENUE
    TAHLEQUAH, OK
    ZIP 74465
  • Facility Phone: 918 456-3456
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARK A. ERWIN
  • NPI Number: 1558377226
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D0897659
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CHEROKEE COUNTY NURSING CENTER INC
Street 1504 NORTH CEDAR AVENUE
City TAHLEQUAH
State OK
ZIP 74465
Phone 918 456-3456
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARK A. ERWIN

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