37D0980488 CLIA NUMBER - RAJI M GILL

Laboratory Demographics

  • CLIA Code: 37D0980488
  • Facility Name: RAJI M GILL
  • Facility Address: TAHLEQUAH MEDICAL CENTER 1500 E DOWNING STE 100
    TAHLEQUAH, OK
    ZIP 74464
  • Facility Phone: 918 458-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJI N. GILL
  • NPI Number: 1922181593
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 37D0980488
LAB Type Physician Office
Facility Name RAJI M GILL
Street TAHLEQUAH MEDICAL CENTER 1500 E DOWNING STE 100
City TAHLEQUAH
State OK
ZIP 74464
Phone 918 458-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director RAJI N. GILL

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