37D2195974 CLIA NUMBER - GREEN COUNTRY VILLAGE ASSISTED LIVING CENTER

Laboratory Demographics

  • CLIA Code: 37D2195974
  • Facility Name: GREEN COUNTRY VILLAGE ASSISTED LIVING CENTER
  • Facility Address: 1027 SWAN DRIVE
    BARTLESVILLE, OK
    ZIP 74006
  • Facility Phone: 918 335-2086
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHERYL L. MCCOMAS
  • NPI Number: 1215080734
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 37D2195974
LAB Type Assisted Living Facility
Facility Name GREEN COUNTRY VILLAGE ASSISTED LIVING CENTER
Street 1027 SWAN DRIVE
City BARTLESVILLE
State OK
ZIP 74006
Phone 918 335-2086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Assisted Living Facility
Lab Director SHERYL L. MCCOMAS

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This page was last updated on: 6/4/2025