37D1028906 CLIA NUMBER - MASHOVIN HOME HEALTH CARE, INC

Laboratory Demographics

  • CLIA Code: 37D1028906
  • Facility Name: MASHOVIN HOME HEALTH CARE, INC
  • Facility Address: 12131 E SKELLY DRIVE ATTN MAXINE HARDRIDGE
    TULSA, OK
    ZIP 74128
  • Facility Phone: 918 245-3337
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MAXINE M. HARDRIDGE
  • NPI Number: 1881753572
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D1028906
LAB Type Home Health Agency
Facility Name MASHOVIN HOME HEALTH CARE, INC
Street 12131 E SKELLY DRIVE ATTN MAXINE HARDRIDGE
City TULSA
State OK
ZIP 74128
Phone 918 245-3337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2024
Certificate Expiration Date 8/4/2026
Facility Type Home Health Agency
Lab Director MAXINE M. HARDRIDGE

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