37D1059731 CLIA NUMBER - INTEGRIS HOSPICE HOUSE

Laboratory Demographics

  • CLIA Code: 37D1059731
  • Facility Name: INTEGRIS HOSPICE HOUSE
  • Facility Address: 13920 QUAILBROOK DRIVE
    OKLAHOMA CITY, OK
    ZIP 73134
  • Facility Phone: 405 848-8884
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LYDIA L. WELCH
  • NPI Number: 1295736866
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D1059731
LAB Type Hospice
Facility Name INTEGRIS HOSPICE HOUSE
Street 13920 QUAILBROOK DRIVE
City OKLAHOMA CITY
State OK
ZIP 73134
Phone 405 848-8884
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Hospice
Lab Director LYDIA L. WELCH

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