37D2169011 CLIA NUMBER - SUNCREST HOSPICE OKLAHOMA, LLC

Laboratory Demographics

  • CLIA Code: 37D2169011
  • Facility Name: SUNCREST HOSPICE OKLAHOMA, LLC
  • Facility Address: 5100 N BROOKLINE AVE, STE 150
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 578-9710
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANNE NISLEY
  • NPI Number: 1376007112
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D2169011
LAB Type Hospice
Facility Name SUNCREST HOSPICE OKLAHOMA, LLC
Street 5100 N BROOKLINE AVE, STE 150
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 578-9710
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Hospice
Lab Director ANNE NISLEY

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