37D1012806 CLIA NUMBER - CARDIOVASCULAR CLINIC A DIVISION OF PLAZA MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 37D1012806
  • Facility Name: CARDIOVASCULAR CLINIC A DIVISION OF PLAZA MEDICAL GROUP PC
  • Facility Address: 3433 NW 56TH STREET, SUITE 400
    OKLAHOMA CITY, OK
    ZIP 73112
  • Facility Phone: 405 947-3341
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRIE M. GIBSON, MD
  • NPI Number: 1336268770
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 37D1012806
LAB Type Physician Office
Facility Name CARDIOVASCULAR CLINIC A DIVISION OF PLAZA MEDICAL GROUP PC
Street 3433 NW 56TH STREET, SUITE 400
City OKLAHOMA CITY
State OK
ZIP 73112
Phone 405 947-3341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2025
Certificate Expiration Date 5/20/2027
Facility Type Physician Office
Lab Director TERRIE M. GIBSON, MD

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