37D2142285 CLIA NUMBER - MATTOX HALL OKLAHOMA HOMES

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Field Name	Field Value
CLIA Number	37D2142285
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	MATTOX HALL OKLAHOMA HOMES
Street	209 EAST GARBER RD
City	GARBER
State	OK
ZIP	73738
Phone	5808632200
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/9/2026
Certificate Expiration Date	1/8/2028
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	JAMI BENTON

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This page was last updated on: 6/29/2026