37D2070431 CLIA NUMBER - SSM HEALTH WOUND CARE, A DEPT OF SSM HEALTH ST ANTHONY HOSPITAL, SHAWNEE

Laboratory Demographics

  • CLIA Code: 37D2070431
  • Facility Name: SSM HEALTH WOUND CARE, A DEPT OF SSM HEALTH ST ANTHONY HOSPITAL, SHAWNEE
  • Facility Address: 3700 N KICKAPOO ST, SUITE 132
    SHAWNEE, OK
    ZIP 74804
  • Facility Phone: 405 214-1571
  • Facility Type: Other - WOUND CARE CLINC
  • Facility Type: Waiver
  • Lab Director: DR. S N LEVI JONES
  • NPI Number: 1689177370
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2070431
LAB Type Other - WOUND CARE CLINC
Facility Name SSM HEALTH WOUND CARE, A DEPT OF SSM HEALTH ST ANTHONY HOSPITAL, SHAWNEE
Street 3700 N KICKAPOO ST, SUITE 132
City SHAWNEE
State OK
ZIP 74804
Phone 405 214-1571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2023
Certificate Expiration Date 12/15/2025
Facility Type Other - WOUND CARE CLINC
Lab Director DR. S N LEVI JONES

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