37D0906184 CLIA NUMBER - BROOKSIDE NURSING CENTER MADILL OPERATING CO, LLC

Laboratory Demographics

  • CLIA Code: 37D0906184
  • Facility Name: BROOKSIDE NURSING CENTER MADILL OPERATING CO, LLC
  • Facility Address: 310 BROOKSIDE DR
    MADILL, OK
    ZIP 73446
  • Facility Phone: 580 795-2100
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: OMA N. THOMAS
  • NPI Number: 1114590098
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0906184
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKSIDE NURSING CENTER MADILL OPERATING CO, LLC
Street 310 BROOKSIDE DR
City MADILL
State OK
ZIP 73446
Phone 580 795-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director OMA N. THOMAS

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