37D1072111 CLIA NUMBER - INNOVA, LLC

Laboratory Demographics

  • CLIA Code: 37D1072111
  • Facility Name: INNOVA, LLC
  • Facility Address: 4100 PERIMETER CENTER DRIVE SUITE 210
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: (405) 604-9172
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SHARITA COLEMAN
  • NPI Number: 1093914251
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D1072111
LAB Type Home Health Agency
Facility Name INNOVA, LLC
Street 4100 PERIMETER CENTER DRIVE SUITE 210
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 4056049172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Home Health Agency
Lab Director SHARITA COLEMAN

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This page was last updated on: 5/18/2026