37D2243807 CLIA NUMBER - EMERALD SQUARE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 37D2243807
  • Facility Name: EMERALD SQUARE ASSISTED LIVING
  • Facility Address: 701 N COUNCIL ROAD
    OKLAHOMA CITY, OK
    ZIP 73127
  • Facility Phone: 405 787-4466
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LATASHA M. WINSHIP
  • NPI Number: 1306068432
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D2243807
LAB Type Assisted Living Facility
Facility Name EMERALD SQUARE ASSISTED LIVING
Street 701 N COUNCIL ROAD
City OKLAHOMA CITY
State OK
ZIP 73127
Phone 405 787-4466
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Assisted Living Facility
Lab Director LATASHA M. WINSHIP

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