37D1054810 CLIA NUMBER - COMPASSUS- VINITA HOSPICE ADVANTAGE, LLC

Laboratory Demographics

CLIA Number: 37D1054810

Facility Name: COMPASSUS- VINITA HOSPICE ADVANTAGE, LLC

Facility Address:
35904 S HWY 82
VINITA, OK
ZIP 74301
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Facility Phone Number: 918 782-1414

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1568875722

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	37D1054810
LAB Type	Hospice
Facility Name	COMPASSUS- VINITA HOSPICE ADVANTAGE, LLC
Street	35904 S HWY 82
City	VINITA
State	OK
ZIP	74301
Phone	918 782-1414
CertificateType	4
CertificateEffectiveDate	12/2/2022
CertificateExpirationDate	12/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024