37D2200849 CLIA NUMBER - CHISHOLM TRAIL ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 37D2200849
  • Facility Name: CHISHOLM TRAIL ASSISTED LIVING
  • Facility Address: 625 CHISHOLM TRAIL PKWY
    DUNCAN, OK
    ZIP 73533
  • Facility Phone: 580 740-8600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DUSTIN R. COX
  • NPI Number: 1801946009
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2200849
LAB Type Assisted Living Facility
Facility Name CHISHOLM TRAIL ASSISTED LIVING
Street 625 CHISHOLM TRAIL PKWY
City DUNCAN
State OK
ZIP 73533
Phone 580 740-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Assisted Living Facility
Lab Director DUSTIN R. COX

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