37D0993248 CLIA NUMBER - BOBBY R JACOBS MD PC

Laboratory Demographics

  • CLIA Code: 37D0993248
  • Facility Name: BOBBY R JACOBS MD PC
  • Facility Address: 6424 NORTH PORTLAND AVENUE
    OKLAHOMA CITY, OK
    ZIP 73116
  • Facility Phone: 405 840-9441
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BOBBY R. JACOBS MD
  • NPI Number: 1780802165
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D0993248
LAB Type Physician Office
Facility Name BOBBY R JACOBS MD PC
Street 6424 NORTH PORTLAND AVENUE
City OKLAHOMA CITY
State OK
ZIP 73116
Phone 405 840-9441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2023
Certificate Expiration Date 11/7/2025
Facility Type Physician Office
Lab Director BOBBY R. JACOBS MD

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