37D1056486 CLIA NUMBER - ASCENSION ST JOHN OWASSO, INC

Laboratory Demographics

  • CLIA Code: 37D1056486
  • Facility Name: ASCENSION ST JOHN OWASSO, INC
  • Facility Address: 12451 E 100TH ST NORTH 1ST FLOOR
    OWASSO, OK
    ZIP 74055
  • Facility Phone: 918 744-3131
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. RYAN L. HENDREN
  • NPI Number: 1003069428
  • Taxonomy: 261QX0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D1056486
LAB Type Hospital
Facility Name ASCENSION ST JOHN OWASSO, INC
Street 12451 E 100TH ST NORTH 1ST FLOOR
City OWASSO
State OK
ZIP 74055
Phone 918 744-3131
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Hospital
Lab Director DR. RYAN L. HENDREN

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This page was last updated on: 3/20/2025