37D0981328 CLIA NUMBER - JEFFREY L GIBSON DOPC

Laboratory Demographics

  • CLIA Code: 37D0981328
  • Facility Name: JEFFREY L GIBSON DOPC
  • Facility Address: 307A S LOCUST
    NOWATA, OK
    ZIP 74048
  • Facility Phone: 918 273-2761
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFREY L. GIBSON
  • NPI Number: 1306807011
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0981328
LAB Type Physician Office
Facility Name JEFFREY L GIBSON DOPC
Street 307A S LOCUST
City NOWATA
State OK
ZIP 74048
Phone 918 273-2761
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 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Physician Office
Lab Director JEFFREY L. GIBSON

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