05D2220421 CLIA NUMBER - ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION

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Laboratory Demographics

CLIA Number: 05D2220421

Facility Name: ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION

Facility Address:
39000 BOB HOPE DRIVE, SUITE K209
RANCHO MIRAGE, CA
ZIP 92270
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Facility Phone Number: 760 327-7900

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134237993

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D2220421
LAB Type	Physician Office
Facility Name	ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION
Street	39000 BOB HOPE DRIVE, SUITE K209
City	RANCHO MIRAGE
State	CA
ZIP	92270
Phone	760 327-7900
CertificateType	4
CertificateEffectiveDate	4/12/2023
CertificateExpirationDate	4/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024