37D2193299 CLIA NUMBER - HENRYETTA COMMUNITY SKILLED HEALTHCARE & REHAB

Laboratory Demographics

  • CLIA Code: 37D2193299
  • Facility Name: HENRYETTA COMMUNITY SKILLED HEALTHCARE & REHAB
  • Facility Address: 212 N ANTES ATTN KIM SLYCONISH
    HENRYETTA, OK
    ZIP 74437
  • Facility Phone: 918 652-8797
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DARLA J. CHEATWOOD
  • NPI Number: 1174587976
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 37D2193299
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HENRYETTA COMMUNITY SKILLED HEALTHCARE & REHAB
Street 212 N ANTES ATTN KIM SLYCONISH
City HENRYETTA
State OK
ZIP 74437
Phone 918 652-8797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DARLA J. CHEATWOOD

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