37D2211723 CLIA NUMBER - IGNITE MEDICAL RESORT TULSA, LLC

Laboratory Demographics

  • CLIA Code: 37D2211723
  • Facility Name: IGNITE MEDICAL RESORT TULSA, LLC
  • Facility Address: 8720 S 101ST EAST AVENUE
    TULSA, OK
    ZIP 74133
  • Facility Phone: 918 965-0101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER HART
  • NPI Number: 1891911715
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D2211723
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name IGNITE MEDICAL RESORT TULSA, LLC
Street 8720 S 101ST EAST AVENUE
City TULSA
State OK
ZIP 74133
Phone 918 965-0101
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 Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER HART

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