03D1099329 CLIA NUMBER - GYNESURGICAL LLC

Laboratory Demographics

  • CLIA Code: 03D1099329
  • Facility Name: GYNESURGICAL LLC
  • Facility Address: 1008 E MCDOWELL
    PHOENIX, AZ
    ZIP 85006
  • Facility Phone: 602 241-1944
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KELLY H. ROY, MD
  • NPI Number: 1487888426
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 03D1099329
LAB Type Ambulatory Surgery Center
Facility Name GYNESURGICAL LLC
Street 1008 E MCDOWELL
City PHOENIX
State AZ
ZIP 85006
Phone 602 241-1944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Ambulatory Surgery Center
Lab Director KELLY H. ROY, MD

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