37D2142397 CLIA NUMBER - LODGE AT BROOKLINE, THE

Laboratory Demographics

  • CLIA Code: 37D2142397
  • Facility Name: LODGE AT BROOKLINE, THE
  • Facility Address: 5301 N BROOKLINE
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 251-2847
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JANA RATZLAFF
  • NPI Number: 1013704238
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 37D2142397
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LODGE AT BROOKLINE, THE
Street 5301 N BROOKLINE
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 251-2847
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JANA RATZLAFF

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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