37D2192128 CLIA NUMBER - LEGEND AT COUNCIL RD COUNCIL ALF, LLC

Laboratory Demographics

  • CLIA Code: 37D2192128
  • Facility Name: LEGEND AT COUNCIL RD COUNCIL ALF, LLC
  • Facility Address: 11320 N COUNCIL RD
    OKLAHOMA CITY, OK
    ZIP 73162
  • Facility Phone: 405 721-0300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AARON MOSLY
  • NPI Number: 1831332824
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 37D2192128
LAB Type Assisted Living Facility
Facility Name LEGEND AT COUNCIL RD COUNCIL ALF, LLC
Street 11320 N COUNCIL RD
City OKLAHOMA CITY
State OK
ZIP 73162
Phone 405 721-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2024
Certificate Expiration Date 9/3/2026
Facility Type Assisted Living Facility
Lab Director AARON MOSLY

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