CERTIGEN LABORATORY, LLC – Clinical Medical Laboratory, NPI 1336556745

CERTIGEN LABORATORY, LLC is a healthcare provider. based in Dallas, Texas. specializing in Clinical Medical Laboratory. The organization holds a License No. 37D2075661 (OK). The NPI Number for CERTIGEN LABORATORY, LLC is 1336556745

Main info

Organization
Name
CERTIGEN LABORATORY, LLC
NPI
1336556745
Phone
(918) 960-3150
Address
PO BOX 649210
Authorized Official
KIMBERLY KAY KIMREY OPERATIONS MANAGER MT(ASCP)
Enumeration Date
17 July 2014
Last Update Date
13 January 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for CERTIGEN LABORATORY, LLC

  • PO BOX 649210

    DALLAS, TX 752649210

    Phone: (918) 960-3150

    Fax: (918) 960-3154

    Type: Mailing

  • PO BOX 722143

    NORMAN, OK 730708624

    Phone: (918) 960-3150

    Fax: (918) 960-3154

    Type: Mailing

  • 9309 S TOLEDO AVE

    SUITE A

    TULSA, OK 741372752

    Phone: (918) 960-3150

    Fax: (918) 960-3154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1049 days ago).

Enrollment records

1

Earliest due date

2023-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150723007218OIndependent Clinical LaboratoryOK2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
G0483Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms5,9022,589$0
87798Detection test by nucleic acid for organism, amplified probe technique2,832256$0
80307Testing for presence of drug, by chemistry analyzers2,7931,343$0
87150Identification of organisms by genetic analysis, amplified probe technique1,444131$0
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique636189$0
View full utilization report →

Insurance plans in this area (ZIP 75264)

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Reviews

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Frequently asked questions

What is CERTIGEN LABORATORY, LLC's NPI number?
CERTIGEN LABORATORY, LLC's NPI is 1336556745 — the number used across U.S. healthcare to identify this provider.
Would CERTIGEN LABORATORY, LLC appear as active to a payer?
You can treat CERTIGEN LABORATORY, LLC as active for directory purposes; confirm clinical privileges separately.
How would a patient describe CERTIGEN LABORATORY, LLC's focus?
For CERTIGEN LABORATORY, LLC, the primary taxonomy reads as Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.
What locale is associated with CERTIGEN LABORATORY, LLC?
Directory geography for CERTIGEN LABORATORY, LLC centers on Dallas, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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