37D2326723 CLIA NUMBER - ANTLERS MANOR

Laboratory Demographics

  • CLIA Code: 37D2326723
  • Facility Name: ANTLERS MANOR
  • Facility Address: 511 E MAIN STREET
    ANTLERS, OK
    ZIP 74523
  • Facility Phone: 580 298-3294
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BEN MELTON
  • NPI Number: 1922095009
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 37D2326723
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ANTLERS MANOR
Street 511 E MAIN STREET
City ANTLERS
State OK
ZIP 74523
Phone 580 298-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BEN MELTON

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