37D2090578 CLIA NUMBER - AT HOME IN OKLAHOMA

Laboratory Demographics

  • CLIA Code: 37D2090578
  • Facility Name: AT HOME IN OKLAHOMA
  • Facility Address: 1409 SOUTH MUSKOGEE AVENUE, SUITE 2
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 000 918-7089
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KARA ROUNTREE
  • NPI Number: 1437104924
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 37D2090578
LAB Type Home Health Agency
Facility Name AT HOME IN OKLAHOMA
Street 1409 SOUTH MUSKOGEE AVENUE, SUITE 2
City TAHLEQUAH
State OK
ZIP 74464
Phone 000 918-7089
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2025
Certificate Expiration Date 1/26/2027
Facility Type Home Health Agency
Lab Director KARA ROUNTREE

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