37D1023783 CLIA NUMBER - HENNESSEY NURSING & REHABILITATION, LLC

Laboratory Demographics

  • CLIA Code: 37D1023783
  • Facility Name: HENNESSEY NURSING & REHABILITATION, LLC
  • Facility Address: 705 E 3RD ST
    HENNESSEY, OK
    ZIP 73742
  • Facility Phone: 405 853-4390
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DOUG DOLLARHIDE
  • NPI Number: 1740350222
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 37D1023783
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HENNESSEY NURSING & REHABILITATION, LLC
Street 705 E 3RD ST
City HENNESSEY
State OK
ZIP 73742
Phone 405 853-4390
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DOUG DOLLARHIDE

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