37D1028756 CLIA NUMBER - HERITAGE MANOR

Laboratory Demographics

  • CLIA Code: 37D1028756
  • Facility Name: HERITAGE MANOR
  • Facility Address: 3804 N BARR
    OKLAHOMA CITY, OK
    ZIP 73122
  • Facility Phone: 405 789-7103
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CONNIE S. BEELER
  • NPI Number: 1457397325
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D1028756
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HERITAGE MANOR
Street 3804 N BARR
City OKLAHOMA CITY
State OK
ZIP 73122
Phone 405 789-7103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CONNIE S. BEELER

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