37D1032140 CLIA NUMBER - VIALIFE HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 37D1032140
  • Facility Name: VIALIFE HOME HEALTH CARE
  • Facility Address: 100 S ROWE ST
    PRYOR, OK
    ZIP 74361
  • Facility Phone: 918 824-9600
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALESHA PENDERSON
  • NPI Number: 1205313830
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D1032140
LAB Type Home Health Agency
Facility Name VIALIFE HOME HEALTH CARE
Street 100 S ROWE ST
City PRYOR
State OK
ZIP 74361
Phone 918 824-9600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2024
Certificate Expiration Date 10/17/2026
Facility Type Home Health Agency
Lab Director ALESHA PENDERSON

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