37D2264534 CLIA NUMBER - JOHN H JOHNSON CARE SUITES

Laboratory Demographics

  • CLIA Code: 37D2264534
  • Facility Name: JOHN H JOHNSON CARE SUITES
  • Facility Address: 1213 NW 122ND ST
    OKLAHOMA CITY, OK
    ZIP 73114
  • Facility Phone: 405 849-5200
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIMBERLY U. CARDENAS
  • NPI Number: 1730421421
  • Taxonomy: 103K00000X - Behavior Analyst

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CLIA Record

Field Name Field Value
CLIA Number 37D2264534
LAB Type Assisted Living Facility
Facility Name JOHN H JOHNSON CARE SUITES
Street 1213 NW 122ND ST
City OKLAHOMA CITY
State OK
ZIP 73114
Phone 405 849-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2024
Certificate Expiration Date 7/14/2026
Facility Type Assisted Living Facility
Lab Director KIMBERLY U. CARDENAS

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