37D2073696 CLIA NUMBER - GOOD SHEPHERD MINISTRIES

Laboratory Demographics

  • CLIA Code: 37D2073696
  • Facility Name: GOOD SHEPHERD MINISTRIES
  • Facility Address: ATTN SANDIE 222 NW 12TH STREET
    OKLAHOMA CITY, OK
    ZIP 73103
  • Facility Phone: 405 754-5190
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: PAMELA S. TIMMONS
  • NPI Number: 1871916700
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2073696
LAB Type Community Clinic
Facility Name GOOD SHEPHERD MINISTRIES
Street ATTN SANDIE 222 NW 12TH STREET
City OKLAHOMA CITY
State OK
ZIP 73103
Phone 405 754-5190
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Community Clinic
Lab Director PAMELA S. TIMMONS

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