07D2265291 CLIA NUMBER - ADVANCED OB-GYN DOCTORS, LLC

Laboratory Demographics

  • CLIA Code: 07D2265291
  • Facility Name: ADVANCED OB-GYN DOCTORS, LLC
  • Facility Address: 146 HAZARD AVE
    ENFIELD, CT
    ZIP 06082
  • Facility Phone: 860 763-7220
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAVANI REDDY PINGLE
  • NPI Number: 1427348770
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 07D2265291
LAB Type Physician Office
Facility Name ADVANCED OB-GYN DOCTORS, LLC
Street 146 HAZARD AVE
City ENFIELD
State CT
ZIP 06082
Phone 860 763-7220
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director PAVANI REDDY PINGLE

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This page was last updated on: 6/4/2025