21D2167697 CLIA NUMBER - CENTER FOR ADVANCED GYN & UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 21D2167697
  • Facility Name: CENTER FOR ADVANCED GYN & UROGYNECOLOGY
  • Facility Address: 12800 MIDDLEBROOK ROAD SUITE 480
    GERMANTOWN, MD
    ZIP 20874
  • Facility Phone: 301 652-1231
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIKKA SHOBBA
  • NPI Number: 1730420035
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D2167697
LAB Type Physician Office
Facility Name CENTER FOR ADVANCED GYN & UROGYNECOLOGY
Street 12800 MIDDLEBROOK ROAD SUITE 480
City GERMANTOWN
State MD
ZIP 20874
Phone 301 652-1231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/13/2025
Certificate Expiration Date 6/12/2027
Facility Type Physician Office
Lab Director SIKKA SHOBBA

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