37D2074559 CLIA NUMBER - EMERALD HOSPICE

Home > CLIA Lookup > 37D2074559

Laboratory Demographics

CLIA Number: 37D2074559

Facility Name: EMERALD HOSPICE

Facility Address:
921 NW 164TH ST STE B
EDMOND, OK
ZIP 73013
Get Directions

Facility Phone Number: 405 285-8787

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1548691645

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	37D2074559
LAB Type	Hospice
Facility Name	EMERALD HOSPICE
Street	921 NW 164TH ST STE B
City	EDMOND
State	OK
ZIP	73013
Phone	405 285-8787
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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