37D2246778 CLIA NUMBER - BARRY'S BUNKHOUSE OKLAHOMA HOMES FOR THE DEV DISABLED

Laboratory Demographics

  • CLIA Code: 37D2246778
  • Facility Name: BARRY'S BUNKHOUSE OKLAHOMA HOMES FOR THE DEV DISABLED
  • Facility Address: 4621 SPRINGRIDGE ROAD
    ENID, OK
    ZIP 73703
  • Facility Phone: 580 234-5063
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: DR. JAMI BENTON
  • NPI Number: 1558025916
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 37D2246778
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name BARRY'S BUNKHOUSE OKLAHOMA HOMES FOR THE DEV DISABLED
Street 4621 SPRINGRIDGE ROAD
City ENID
State OK
ZIP 73703
Phone 580 234-5063
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director DR. JAMI BENTON

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