37D2288096 CLIA NUMBER - PADDINGTON PLACE COTTAGE 4

Laboratory Demographics

  • CLIA Code: 37D2288096
  • Facility Name: PADDINGTON PLACE COTTAGE 4
  • Facility Address: 10201 S YALE AVE
    TULSA, OK
    ZIP 74137
  • Facility Phone: (918) 290-3401
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: LAUREN EVANS
  • NPI Number: 1043834849
  • Taxonomy: 310500000X - Intermediate Care Facility, Mental Illness

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CLIA Record

Field Name Field Value
CLIA Number 37D2288096
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name PADDINGTON PLACE COTTAGE 4
Street 10201 S YALE AVE
City TULSA
State OK
ZIP 74137
Phone 9182903401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director LAUREN EVANS

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This page was last updated on: 5/18/2026