36D1062295 CLIA NUMBER - ROBERTA JUNE GUIBORD DO INC

Laboratory Demographics

  • CLIA Code: 36D1062295
  • Facility Name: ROBERTA JUNE GUIBORD DO INC
  • Facility Address: 900 W SOUTH BOUNDARY BLDG 3-B
    PERRYSBURG, OH
    ZIP 43551
  • Facility Phone: 419 872-5556
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERTA GUIBORD DO
  • NPI Number: 1538243704
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D1062295
LAB Type Physician Office
Facility Name ROBERTA JUNE GUIBORD DO INC
Street 900 W SOUTH BOUNDARY BLDG 3-B
City PERRYSBURG
State OH
ZIP 43551
Phone 419 872-5556
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director ROBERTA GUIBORD DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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