44D2000120 CLIA NUMBER - ADVANCED GYNECOLOGY & WELLNESS

Laboratory Demographics

  • CLIA Code: 44D2000120
  • Facility Name: ADVANCED GYNECOLOGY & WELLNESS
  • Facility Address: 1 MEDICAL PARK BLVD, SUITE 305E
    BRISTOL, TN
    ZIP 37620
  • Facility Phone: 423 844-5640
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID W. MARDEN
  • NPI Number: 1386978062
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 44D2000120
LAB Type Physician Office
Facility Name ADVANCED GYNECOLOGY & WELLNESS
Street 1 MEDICAL PARK BLVD, SUITE 305E
City BRISTOL
State TN
ZIP 37620
Phone 423 844-5640
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Physician Office
Lab Director DAVID W. MARDEN

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