37D0703774 CLIA NUMBER - AJAY BHARGAVA

Laboratory Demographics

  • CLIA Code: 37D0703774
  • Facility Name: AJAY BHARGAVA
  • Facility Address: 4302 SW LEE BLVD
    LAWTON, OK
    ZIP 73505
  • Facility Phone: 580 357-0058
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AJAY BHARGAVA
  • NPI Number: 1174624845
  • Taxonomy: 2080P0206X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 37D0703774
LAB Type Physician Office
Facility Name AJAY BHARGAVA
Street 4302 SW LEE BLVD
City LAWTON
State OK
ZIP 73505
Phone 580 357-0058
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AJAY BHARGAVA

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