37D1026584 CLIA NUMBER - IDEAL HOME CARE LP

Laboratory Demographics

  • CLIA Code: 37D1026584
  • Facility Name: IDEAL HOME CARE LP
  • Facility Address: 2417 CHICKASAW BLVD
    ARDMORE, OK
    ZIP 73401
  • Facility Phone: 580 465-0863
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHERRY BOATMAN
  • NPI Number: 1467430595
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D1026584
LAB Type Home Health Agency
Facility Name IDEAL HOME CARE LP
Street 2417 CHICKASAW BLVD
City ARDMORE
State OK
ZIP 73401
Phone 580 465-0863
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Home Health Agency
Lab Director SHERRY BOATMAN

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