37D1002889 CLIA NUMBER - RURAL WELLNESS STROUD, INC

Laboratory Demographics

  • CLIA Code: 37D1002889
  • Facility Name: RURAL WELLNESS STROUD, INC
  • Facility Address: 2308 HWY 66 W
    STROUD, OK
    ZIP 74079
  • Facility Phone: 918 968-3571
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: ANGELIA SYSLSBERRY
  • NPI Number: 1003572678
  • Taxonomy: 275N00000X - Medicare Defined Swing Bed Unit

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CLIA Record

Field Name Field Value
CLIA Number 37D1002889
LAB Type Hospital
Facility Name RURAL WELLNESS STROUD, INC
Street 2308 HWY 66 W
City STROUD
State OK
ZIP 74079
Phone 918 968-3571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Hospital
Lab Director ANGELIA SYSLSBERRY

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