36D2125616 CLIA NUMBER - GYPSY LANE ENDOSCOPY SUITES, INC

Laboratory Demographics

  • CLIA Code: 36D2125616
  • Facility Name: GYPSY LANE ENDOSCOPY SUITES, INC
  • Facility Address: 630 GYPSY LANE
    YOUNGSTOWN, OH
    ZIP 44505
  • Facility Phone: 330 399-7215
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: ADEL I. YOUSSEF
  • NPI Number: 1730614330
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2125616
LAB Type Ambulatory Surgery Center
Facility Name GYPSY LANE ENDOSCOPY SUITES, INC
Street 630 GYPSY LANE
City YOUNGSTOWN
State OH
ZIP 44505
Phone 330 399-7215
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Ambulatory Surgery Center
Lab Director ADEL I. YOUSSEF

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