37D2161260 CLIA NUMBER - COHESIVE HEALTHCARE

Laboratory Demographics

  • CLIA Code: 37D2161260
  • Facility Name: COHESIVE HEALTHCARE
  • Facility Address: 2510 E INDEPENDENCE, STE 102
    SHAWNEE, OK
    ZIP 74804
  • Facility Phone: 405 309-3950
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMERA L. GARDNER
  • NPI Number: 1932661568
  • Taxonomy: 172A00000X - Driver

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CLIA Record

Field Name Field Value
CLIA Number 37D2161260
LAB Type Home Health Agency
Facility Name COHESIVE HEALTHCARE
Street 2510 E INDEPENDENCE, STE 102
City SHAWNEE
State OK
ZIP 74804
Phone 405 309-3950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Home Health Agency
Lab Director TAMERA L. GARDNER

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