37D2042416 CLIA NUMBER - MILLENNIUM HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 37D2042416
  • Facility Name: MILLENNIUM HOSPICE, INC
  • Facility Address: 12129 EAST SKELLY DRIVE
    TULSA, OK
    ZIP 74128
  • Facility Phone: 918 493-6555
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAVID M. RANDALL
  • NPI Number: 1962761833
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D2042416
LAB Type Hospice
Facility Name MILLENNIUM HOSPICE, INC
Street 12129 EAST SKELLY DRIVE
City TULSA
State OK
ZIP 74128
Phone 918 493-6555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2024
Certificate Expiration Date 6/12/2026
Facility Type Hospice
Lab Director DAVID M. RANDALL

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