23D1019382 CLIA NUMBER - JAMES A GIBSON MD PC

Laboratory Demographics

  • CLIA Code: 23D1019382
  • Facility Name: JAMES A GIBSON MD PC
  • Facility Address: 5784 HIGHLAND RD
    WATERFORD, MI
    ZIP 48327
  • Facility Phone: 248 673-6667
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES A. GIBSON
  • NPI Number: 1104838655
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 23D1019382
LAB Type Physician Office
Facility Name JAMES A GIBSON MD PC
Street 5784 HIGHLAND RD
City WATERFORD
State MI
ZIP 48327
Phone 248 673-6667
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/16/2024
Certificate Expiration Date 8/15/2026
Facility Type Physician Office
Lab Director JAMES A. GIBSON

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