32D2304011 CLIA NUMBER - ADVANCED OBGYN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 32D2304011
  • Facility Name: ADVANCED OBGYN ASSOCIATES
  • Facility Address: 4351 E LOHMAN AVE, SUITE 408
    LAS CRUCES, NM
    ZIP 88011
  • Facility Phone: 575 556-3252
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURJIT MOOLAMALLA
  • NPI Number: 1750862785
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 32D2304011
LAB Type Physician Office
Facility Name ADVANCED OBGYN ASSOCIATES
Street 4351 E LOHMAN AVE, SUITE 408
City LAS CRUCES
State NM
ZIP 88011
Phone 575 556-3252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director SURJIT MOOLAMALLA

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