37D2141826 CLIA NUMBER - ALLIED HOSPICE,LLC

Laboratory Demographics

  • CLIA Code: 37D2141826
  • Facility Name: ALLIED HOSPICE,LLC
  • Facility Address: 500 N POPLAR AVE
    BROKEN ARROW, OK
    ZIP 74012
  • Facility Phone: 918 742-4269
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KRISTI H. GAVLIK
  • NPI Number: 1104342815
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D2141826
LAB Type Hospice
Facility Name ALLIED HOSPICE,LLC
Street 500 N POPLAR AVE
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 742-4269
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Hospice
Lab Director KRISTI H. GAVLIK

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