37D2252891 CLIA NUMBER - SHADY GROVE ELEMENTARY SCHOOL

Laboratory Demographics

  • CLIA Code: 37D2252891
  • Facility Name: SHADY GROVE ELEMENTARY SCHOOL
  • Facility Address: 11042 W SHADY GROVE RD
    HULBERT, OK
    ZIP 74441
  • Facility Phone: 918 772-5211
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: EMMETT THOMPSON
  • NPI Number: 1326112947
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 37D2252891
LAB Type School/Student Health Service
Facility Name SHADY GROVE ELEMENTARY SCHOOL
Street 11042 W SHADY GROVE RD
City HULBERT
State OK
ZIP 74441
Phone 918 772-5211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type School/Student Health Service
Lab Director EMMETT THOMPSON

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