37D1038161 CLIA NUMBER - GENTIVA FREEDOM HOSPICE

Laboratory Demographics

  • CLIA Code: 37D1038161
  • Facility Name: GENTIVA FREEDOM HOSPICE
  • Facility Address: 4111 S DARLINGTON AVE, #650
    TULSA, OK
    ZIP 74135
  • Facility Phone: 704 664-2876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1295819050
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D1038161
LAB Type Hospice
Facility Name GENTIVA FREEDOM HOSPICE
Street 4111 S DARLINGTON AVE, #650
City TULSA
State OK
ZIP 74135
Phone 704 664-2876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Hospice
Lab Director SELECE BEASLEY

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