37D2272100 CLIA NUMBER - ELMBROOK AT HOME, LLC

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Field Name	Field Value
CLIA Number	37D2272100
LAB Type	Home Health Agency
Facility Name	ELMBROOK AT HOME, LLC
Street	1908 12TH AVE NW, STE E
City	ARDMORE
State	OK
ZIP	73401
Phone	580 226-3055
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/15/2024
Certificate Expiration Date	11/14/2026
Facility Type	Home Health Agency
Lab Director	TONI HEADSTREAM

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