33D0997234 CLIA NUMBER - RALPH GIBSON MD

Laboratory Demographics

  • CLIA Code: 33D0997234
  • Facility Name: RALPH GIBSON MD
  • Facility Address: 200 PANTIGO PLACE SUITE H
    EAST HAMPTON, NY
    ZIP 11937
  • Facility Phone: 631 329-7824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RALPH M. GIBSON
  • NPI Number: 1972603066
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D0997234
LAB Type Physician Office
Facility Name RALPH GIBSON MD
Street 200 PANTIGO PLACE SUITE H
City EAST HAMPTON
State NY
ZIP 11937
Phone 631 329-7824
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director RALPH M. GIBSON

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