37D1080820 CLIA NUMBER - ROBERT V BLAKEBURN, MD, PC

Laboratory Demographics

  • CLIA Code: 37D1080820
  • Facility Name: ROBERT V BLAKEBURN, MD, PC
  • Facility Address: 800 FRISCO AVE
    CLINTON, OK
    ZIP 73601
  • Facility Phone: 580 323-2700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT V. BLAKEBURN
  • NPI Number: 1164419560
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 37D1080820
LAB Type Physician Office
Facility Name ROBERT V BLAKEBURN, MD, PC
Street 800 FRISCO AVE
City CLINTON
State OK
ZIP 73601
Phone 580 323-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director ROBERT V. BLAKEBURN

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