37D1019195 CLIA NUMBER - TRADITIONS HOSPICE OF CHICKASHA, LLC

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Laboratory Demographics

CLIA Number: 37D1019195

Facility Name: TRADITIONS HOSPICE OF CHICKASHA, LLC

Facility Address:
420 S 22ND STREET, SUITE A
CHICKASHA, OK
ZIP 73018
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Facility Phone Number: (405) 321-2257

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1144283839

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	37D1019195
LAB Type	HOSPICE
Facility Name	TRADITIONS HOSPICE OF CHICKASHA, LLC
Street	420 S 22ND STREET, SUITE A
City	CHICKASHA
State	OK
ZIP	73018
Phone	(405) 321-2257

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This page was last updated on: 5/11/2023