37D0950586 CLIA NUMBER - WILLOW CREST HOSPITAL

Laboratory Demographics

  • CLIA Code: 37D0950586
  • Facility Name: WILLOW CREST HOSPITAL
  • Facility Address: 130 A STREET SW
    MIAMI, OK
    ZIP 74354
  • Facility Phone: 918 542-1836
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARK ELKINGTON
  • NPI Number: 1770599268
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 37D0950586
LAB Type Other
Facility Name WILLOW CREST HOSPITAL
Street 130 A STREET SW
City MIAMI
State OK
ZIP 74354
Phone 918 542-1836
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Other
Lab Director MARK ELKINGTON

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