37D2243262 CLIA NUMBER - GRAND VIEW SCHOOL 11C034

Laboratory Demographics

  • CLIA Code: 37D2243262
  • Facility Name: GRAND VIEW SCHOOL 11C034
  • Facility Address: 15481 N JARVIS ROAD
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 918 456-5131
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: ED KENNEDY
  • NPI Number: 1881020873
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 37D2243262
LAB Type School/Student Health Service
Facility Name GRAND VIEW SCHOOL 11C034
Street 15481 N JARVIS ROAD
City TAHLEQUAH
State OK
ZIP 74464
Phone 918 456-5131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type School/Student Health Service
Lab Director ED KENNEDY

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