37D1017095 CLIA NUMBER - TRADITIONS HEALTH OF CHECOTAH AXXESS HOME CARE, INC

Laboratory Demographics

  • CLIA Code: 37D1017095
  • Facility Name: TRADITIONS HEALTH OF CHECOTAH AXXESS HOME CARE, INC
  • Facility Address: 206 W GENTRY AVE
    CHECOTAH, OK
    ZIP 74426
  • Facility Phone: 918 473-4093
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: CHARIDY RUSSELL
  • NPI Number: 1437110285
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D1017095
LAB Type Home Health Agency
Facility Name TRADITIONS HEALTH OF CHECOTAH AXXESS HOME CARE, INC
Street 206 W GENTRY AVE
City CHECOTAH
State OK
ZIP 74426
Phone 918 473-4093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Home Health Agency
Lab Director CHARIDY RUSSELL

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