48D2303070 CLIA NUMBER - THE WOMEN'S WELLNESS GROUP, PROFESSIONAL LLC

Laboratory Demographics

  • CLIA Code: 48D2303070
  • Facility Name: THE WOMEN'S WELLNESS GROUP, PROFESSIONAL LLC
  • Facility Address: 4504 ESTATE DIAMOND RUBY STE 4
    CHRISTIANSTED, VI
    ZIP 00820
  • Facility Phone: 340 713-0330
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMIL ABDUR-RAHMAN
  • NPI Number: 1316641707
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 48D2303070
LAB Type Physician Office
Facility Name THE WOMEN'S WELLNESS GROUP, PROFESSIONAL LLC
Street 4504 ESTATE DIAMOND RUBY STE 4
City CHRISTIANSTED
State VI
ZIP 00820
Phone 340 713-0330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Physician Office
Lab Director JAMIL ABDUR-RAHMAN

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This page was last updated on: 6/4/2025