37D0993398 CLIA NUMBER - GRAN GRANS PLACE

Laboratory Demographics

  • CLIA Code: 37D0993398
  • Facility Name: GRAN GRANS PLACE
  • Facility Address: 1110 S CORNWELL
    YUKON, OK
    ZIP 73099
  • Facility Phone: 405 350-2311
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: NELL LUSTY
  • NPI Number: 1457351827
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D0993398
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GRAN GRANS PLACE
Street 1110 S CORNWELL
City YUKON
State OK
ZIP 73099
Phone 405 350-2311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director NELL LUSTY

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