37D1049115 CLIA NUMBER - SOONER HOSPICE LLC

Laboratory Demographics

CLIA Number: 37D1049115

Facility Name: SOONER HOSPICE LLC

Facility Address:
2028 E MEMORIAL RD
EDMOND, OK
ZIP 73013
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Facility Phone Number: (405) 608-0555

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1801831664

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	37D1049115
LAB Type	HOSPICE
Facility Name	SOONER HOSPICE LLC
Street	2028 E MEMORIAL RD
City	EDMOND
State	OK
ZIP	73013
Phone	(405) 608-0555

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This page was last updated on: 5/11/2023