03D2179436 CLIA NUMBER - ADVANCED GYN SURGICAL SPECIALISTS

Laboratory Demographics

  • CLIA Code: 03D2179436
  • Facility Name: ADVANCED GYN SURGICAL SPECIALISTS
  • Facility Address: 20940 N TATUM BLVD STE 270
    PHOENIX, AZ
    ZIP 85050
  • Facility Phone: 844 436-7874
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DAVID I. GLASSMAN
  • NPI Number: 1124669585
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 03D2179436
LAB Type Independent
Facility Name ADVANCED GYN SURGICAL SPECIALISTS
Street 20940 N TATUM BLVD STE 270
City PHOENIX
State AZ
ZIP 85050
Phone 844 436-7874
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Independent
Lab Director DAVID I. GLASSMAN

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