17D0915098 CLIA NUMBER - GILL INTERNAL MEDICINE LLC

Laboratory Demographics

  • CLIA Code: 17D0915098
  • Facility Name: GILL INTERNAL MEDICINE LLC
  • Facility Address: 111 E TUCKER ROAD, SUITE F
    LIBERAL, KS
    ZIP 67901
  • Facility Phone: 620 624-1100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VARINDER GILL, MD
  • NPI Number: 1578833141
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 17D0915098
LAB Type Physician Office
Facility Name GILL INTERNAL MEDICINE LLC
Street 111 E TUCKER ROAD, SUITE F
City LIBERAL
State KS
ZIP 67901
Phone 620 624-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Physician Office
Lab Director VARINDER GILL, MD

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