37D2316857 CLIA NUMBER - BRADLEY BIBB MD PLLC

Laboratory Demographics

  • CLIA Code: 37D2316857
  • Facility Name: BRADLEY BIBB MD PLLC
  • Facility Address: 2001 S 1ST ST
    CHICKASHA, OK
    ZIP 73018
  • Facility Phone: 405 320-9444
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HAHN
  • NPI Number: 1013724764
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 37D2316857
LAB Type Physician Office
Facility Name BRADLEY BIBB MD PLLC
Street 2001 S 1ST ST
City CHICKASHA
State OK
ZIP 73018
Phone 405 320-9444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2025
Certificate Expiration Date 1/13/2027
Facility Type Physician Office
Lab Director MARK HAHN

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