08D2001650 CLIA NUMBER - CENTER FOR ADVANCED GYNECOLOGY AND MINIMALLY INVASIVE SURGERY

Laboratory Demographics

  • CLIA Code: 08D2001650
  • Facility Name: CENTER FOR ADVANCED GYNECOLOGY AND MINIMALLY INVASIVE SURGERY
  • Facility Address: 4735 OGLETWON-STANTON ROAD, SUITE 2103
    NEWARK, DE
    ZIP 19713
  • Facility Phone: 302 623-4410
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHELLE MARIE PACIS
  • NPI Number: 1437737442
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 08D2001650
LAB Type Physician Office
Facility Name CENTER FOR ADVANCED GYNECOLOGY AND MINIMALLY INVASIVE SURGERY
Street 4735 OGLETWON-STANTON ROAD, SUITE 2103
City NEWARK
State DE
ZIP 19713
Phone 302 623-4410
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 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Physician Office
Lab Director DR. MICHELLE MARIE PACIS

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