37D0916619 CLIA NUMBER - ENHABIT HOME HEALTH OF NORTHEAST OKLAHOMA DAY BY DAY STAFF RELIEF, LLC

Laboratory Demographics

  • CLIA Code: 37D0916619
  • Facility Name: ENHABIT HOME HEALTH OF NORTHEAST OKLAHOMA DAY BY DAY STAFF RELIEF, LLC
  • Facility Address: 1913 WEST TACOMA STREET, SUITE G-H
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 524-1100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRANDALYNN S. PALMER
  • NPI Number: 1407836760
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D0916619
LAB Type Home Health Agency
Facility Name ENHABIT HOME HEALTH OF NORTHEAST OKLAHOMA DAY BY DAY STAFF RELIEF, LLC
Street 1913 WEST TACOMA STREET, SUITE G-H
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 524-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Home Health Agency
Lab Director BRANDALYNN S. PALMER

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