37D2292147 CLIA NUMBER - THREE RIVERS CONSULTING AND MANAGEMENT, LLC

Laboratory Demographics

  • CLIA Code: 37D2292147
  • Facility Name: THREE RIVERS CONSULTING AND MANAGEMENT, LLC
  • Facility Address: 104 W JACKSON ST
    HUGO, OK
    ZIP 74743
  • Facility Phone: 580 501-0850
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LOLA J. EDWARDS
  • NPI Number: 1881883148
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 37D2292147
LAB Type Hospice
Facility Name THREE RIVERS CONSULTING AND MANAGEMENT, LLC
Street 104 W JACKSON ST
City HUGO
State OK
ZIP 74743
Phone 580 501-0850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2023
Certificate Expiration Date 10/19/2025
Facility Type Hospice
Lab Director LOLA J. EDWARDS

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