37D2074690 CLIA NUMBER - HUMANITY HOSPICE, LLC

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Laboratory Demographics

CLIA Number: 37D2074690

Facility Name: HUMANITY HOSPICE, LLC

Facility Address:
1109 N BRYANT AVE, SUITE 100
EDMOND, OK
ZIP 73034
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Facility Phone Number: (405) 418-2530

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1205251352

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	37D2074690
LAB Type	HOSPICE
Facility Name	HUMANITY HOSPICE, LLC
Street	1109 N BRYANT AVE, SUITE 100
City	EDMOND
State	OK
ZIP	73034
Phone	(405) 418-2530

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This page was last updated on: 5/11/2023