37D2219435 CLIA NUMBER - WICKSHIRE NORMAN WICKSHIRE NORMAN OPCO, LLC

Laboratory Demographics

  • CLIA Code: 37D2219435
  • Facility Name: WICKSHIRE NORMAN WICKSHIRE NORMAN OPCO, LLC
  • Facility Address: 1060 RAMBLING OAKS DR
    NORMAN, OK
    ZIP 73072
  • Facility Phone: 615 942-0240
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HOLLY L. JERMAN-MILLER
  • NPI Number: 1215510458
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D2219435
LAB Type Assisted Living Facility
Facility Name WICKSHIRE NORMAN WICKSHIRE NORMAN OPCO, LLC
Street 1060 RAMBLING OAKS DR
City NORMAN
State OK
ZIP 73072
Phone 615 942-0240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type Assisted Living Facility
Lab Director HOLLY L. JERMAN-MILLER

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