33D0986902 CLIA NUMBER - ADVANCED WOMEN'S HLTH OB/GYN SVCS PLLC

Laboratory Demographics

CLIA Number: 33D0986902

Facility Name: ADVANCED WOMEN'S HLTH OB/GYN SVCS PLLC

Facility Address:
133-47 SANFORD AVE SUITE 1B
FLUSHING, NY
ZIP 11355
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Facility Phone Number: 718 661-6630

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1841563277

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	33D0986902
LAB Type	Physician Office
Facility Name	ADVANCED WOMEN'S HLTH OB/GYN SVCS PLLC
Street	133-47 SANFORD AVE SUITE 1B
City	FLUSHING
State	NY
ZIP	11355
Phone	718 661-6630
CertificateType	3
CertificateEffectiveDate	5/24/2023
CertificateExpirationDate	5/23/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024