37D2121288 CLIA NUMBER - FOREST HILLS ASSISTED LIVING RETIREMENT AND CARE C

Laboratory Demographics

  • CLIA Code: 37D2121288
  • Facility Name: FOREST HILLS ASSISTED LIVING RETIREMENT AND CARE C
  • Facility Address: 4304 W HOUSTON ST
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 250-1700
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEREK K. QUINTON
  • NPI Number: 1740526474
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D2121288
LAB Type Assisted Living Facility
Facility Name FOREST HILLS ASSISTED LIVING RETIREMENT AND CARE C
Street 4304 W HOUSTON ST
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 250-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Assisted Living Facility
Lab Director DEREK K. QUINTON

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