37D2222050 CLIA NUMBER - PARK PLACE HEALTHCARE & REHAB

Laboratory Demographics

  • CLIA Code: 37D2222050
  • Facility Name: PARK PLACE HEALTHCARE & REHAB
  • Facility Address: 1530 NE GRAND BLVD
    OKLAHOMA CITY, OK
    ZIP 73117
  • Facility Phone: 405 768-1155
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER M. MOXLEY
  • NPI Number: 1770168627
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D2222050
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PARK PLACE HEALTHCARE & REHAB
Street 1530 NE GRAND BLVD
City OKLAHOMA CITY
State OK
ZIP 73117
Phone 405 768-1155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HEATHER M. MOXLEY

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