11D2229216 CLIA NUMBER - ADVANCED GYNECOLOGY, PC

Laboratory Demographics

  • CLIA Code: 11D2229216
  • Facility Name: ADVANCED GYNECOLOGY, PC
  • Facility Address: 1800 PEACHTREE STREET, NW, SUITE 700
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: 678 344-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT B. RAYBON
  • NPI Number: 1063095081
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2229216
LAB Type Physician Office
Facility Name ADVANCED GYNECOLOGY, PC
Street 1800 PEACHTREE STREET, NW, SUITE 700
City ATLANTA
State GA
ZIP 30309
Phone 678 344-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Physician Office
Lab Director ROBERT B. RAYBON

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