37D2105268 CLIA NUMBER - EVERNORTH HEALTHY LIFECARE CENTER MUSKOGEE

Laboratory Demographics

  • CLIA Code: 37D2105268
  • Facility Name: EVERNORTH HEALTHY LIFECARE CENTER MUSKOGEE
  • Facility Address: 3801 DAL TILE ROAD
    MUSKOGEE, OK
    ZIP 74401
  • Facility Phone: 480 686-0646
  • Facility Type: Other - OUTPATIENT
  • Facility Type: Waiver
  • Lab Director: ERICA NEVES
  • NPI Number: 1740970631
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2105268
LAB Type Other - OUTPATIENT
Facility Name EVERNORTH HEALTHY LIFECARE CENTER MUSKOGEE
Street 3801 DAL TILE ROAD
City MUSKOGEE
State OK
ZIP 74401
Phone 480 686-0646
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Other - OUTPATIENT
Lab Director ERICA NEVES

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