37D1057781 CLIA NUMBER - COMPASSUS-OWASSO HOSPICE ADVANTAGE, LLC

Laboratory Demographics

  • CLIA Code: 37D1057781
  • Facility Name: COMPASSUS-OWASSO HOSPICE ADVANTAGE, LLC
  • Facility Address: 4612 S HARVARD AVE, STE D
    TULSA, OK
    ZIP 74135
  • Facility Phone: 918 770-7687
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KAMA BROWN
  • NPI Number: 1013320274
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D1057781
LAB Type Hospice
Facility Name COMPASSUS-OWASSO HOSPICE ADVANTAGE, LLC
Street 4612 S HARVARD AVE, STE D
City TULSA
State OK
ZIP 74135
Phone 918 770-7687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Hospice
Lab Director KAMA BROWN

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