37D2276568 CLIA NUMBER - PARKER PLACE LIVING CENTERS, HOME#2, LLC

Laboratory Demographics

  • CLIA Code: 37D2276568
  • Facility Name: PARKER PLACE LIVING CENTERS, HOME#2, LLC
  • Facility Address: 7514 NW SUN BLVD
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 699-8760
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: SALLY HEATHER CLEMENT
  • NPI Number: 1194478941
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 37D2276568
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PARKER PLACE LIVING CENTERS, HOME#2, LLC
Street 7514 NW SUN BLVD
City LAWTON
State OK
ZIP 73505
Phone 580 699-8760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director SALLY HEATHER CLEMENT

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