Healther Providers Data Logo

37D1058687 CLIA NUMBER - AVEANNA HEALTHCARE D & D HEALTH SERVICES, INC

Laboratory Demographics

CLIA Number: 37D1058687

Facility Name: AVEANNA HEALTHCARE D & D HEALTH SERVICES, INC

Facility Address:
12331 E 60TH STREET
TULSA, OK
ZIP 74146
Get Directions

Facility Phone Number: 918 252-2000

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1174897508

Taxonomy: 3336C0004X - Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.

CLIA Record

Field Name Field Value
CLIA Number 37D1058687
LAB Type Home Health Agency
Facility Name AVEANNA HEALTHCARE D & D HEALTH SERVICES, INC
Street 12331 E 60TH STREET
City TULSA
State OK
ZIP 74146
Phone 918 252-2000
CertificateType 4
CertificateEffectiveDate 9/13/2022
CertificateExpirationDate 9/12/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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