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

Laboratory Demographics

  • CLIA Code: 37D1054810
  • Facility Name: COMPASSUS- VINITA HOSPICE ADVANTAGE, LLC
  • Facility Address: 35904 S HWY 82
    VINITA, OK
    ZIP 74301
  • Facility Phone: 918 782-1414
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JIMMIE K. MOUSE
  • NPI Number: 1568875722
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Hospice
Lab Director JIMMIE K. MOUSE

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