01D2110764 CLIA NUMBER - UROGYNECOLOGY CENTER OF HUINTSVILLE PC

Laboratory Demographics

CLIA Number: 01D2110764

Facility Name: UROGYNECOLOGY CENTER OF HUINTSVILLE PC

Facility Address:
2317 SOUTH MEMORIAL PKWY STE 410
HUNTSVILLE, AL
ZIP 35801
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Facility Phone Number: 256 517-8861

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1356700298

Taxonomy: 207VF0040X - Obstetrics & Gynecology
An obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

CLIA Record

Field Name	Field Value
CLIA Number	01D2110764
LAB Type	Physician Office
Facility Name	UROGYNECOLOGY CENTER OF HUINTSVILLE PC
Street	2317 SOUTH MEMORIAL PKWY STE 410
City	HUNTSVILLE
State	AL
ZIP	35801
Phone	256 517-8861
CertificateType	4
CertificateEffectiveDate	3/23/2024
CertificateExpirationDate	3/22/2026
FacilityType	Waiver

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