23D0680420 CLIA NUMBER - RONALD GIBSON MD

Laboratory Demographics

  • CLIA Code: 23D0680420
  • Facility Name: RONALD GIBSON MD
  • Facility Address: 360 E CHICAGO STREET SUITE 110
    COLDWATER, MI
    ZIP 49036
  • Facility Phone: 517 278-7331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD C. GIBSON MD
  • NPI Number: 1154498525
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D0680420
LAB Type Physician Office
Facility Name RONALD GIBSON MD
Street 360 E CHICAGO STREET SUITE 110
City COLDWATER
State MI
ZIP 49036
Phone 517 278-7331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RONALD C. GIBSON MD

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