37D2169018 CLIA NUMBER - REGGIE PENNYPACKER, APRN-CNP PLLC

Laboratory Demographics

  • CLIA Code: 37D2169018
  • Facility Name: REGGIE PENNYPACKER, APRN-CNP PLLC
  • Facility Address: 3125 BROOKWOOD AVE
    DUNCAN, OK
    ZIP 73533
  • Facility Phone: 580 786-4018
  • Facility Type: Other - NURSE PRACTIONER
  • Facility Type: Waiver
  • Lab Director: REGGIE D. PENNYPACKER
  • NPI Number: 1275960304
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 37D2169018
LAB Type Other - NURSE PRACTIONER
Facility Name REGGIE PENNYPACKER, APRN-CNP PLLC
Street 3125 BROOKWOOD AVE
City DUNCAN
State OK
ZIP 73533
Phone 580 786-4018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Other - NURSE PRACTIONER
Lab Director REGGIE D. PENNYPACKER

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