37D0656663 CLIA NUMBER - GATESWAY FOUNDATION

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CLIA Record

Field Name Field Value
CLIA Number 37D0656663
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name GATESWAY FOUNDATION
Street 1217 E COLLEGE ST
City BROKEN ARROW
State OK
ZIP 74012
Phone 918 258-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DOROTHY A. MITCHELL

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