13D0951207 CLIA NUMBER - ADVANCED SPECIALTY CARE FOR WOMEN

Laboratory Demographics

  • CLIA Code: 13D0951207
  • Facility Name: ADVANCED SPECIALTY CARE FOR WOMEN
  • Facility Address: 16111 N BRINSON ST STE #110
    NAMPA, ID
    ZIP 83687
  • Facility Phone: 208 468-9400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GARY N. GREGERSON
  • NPI Number: 1255762506
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 13D0951207
LAB Type Physician Office
Facility Name ADVANCED SPECIALTY CARE FOR WOMEN
Street 16111 N BRINSON ST STE #110
City NAMPA
State ID
ZIP 83687
Phone 208 468-9400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director GARY N. GREGERSON

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