37D2211721 CLIA NUMBER - ACG HOSPICE II ADVOCATE HOSPICE CARE, LLC

Laboratory Demographics

  • CLIA Code: 37D2211721
  • Facility Name: ACG HOSPICE II ADVOCATE HOSPICE CARE, LLC
  • Facility Address: 11600 BROADWAY EXTENSION, STE 220
    OKLAHOMA CITY, OK
    ZIP 73114
  • Facility Phone: (405) 778-3115
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER ANDERSON
  • NPI Number: 1669072070
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D2211721
LAB Type Hospice
Facility Name ACG HOSPICE II ADVOCATE HOSPICE CARE, LLC
Street 11600 BROADWAY EXTENSION, STE 220
City OKLAHOMA CITY
State OK
ZIP 73114
Phone 4057783115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2025
Certificate Expiration Date 1/28/2027
Facility Type Hospice
Lab Director JENNIFER ANDERSON

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This page was last updated on: 5/18/2026