03D0526594 CLIA NUMBER - AFFILIATED UROLOGISTS, LTD

Laboratory Demographics

  • CLIA Code: 03D0526594
  • Facility Name: AFFILIATED UROLOGISTS, LTD
  • Facility Address: 5133 N CENTRAL AVE, STE 206
    PHOENIX, AZ
    ZIP 85012
  • Facility Phone: 602 264-0608
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN H. PONAS, MD
  • NPI Number: 1194721530
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D0526594
LAB Type Physician Office
Facility Name AFFILIATED UROLOGISTS, LTD
Street 5133 N CENTRAL AVE, STE 206
City PHOENIX
State AZ
ZIP 85012
Phone 602 264-0608
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 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director STEPHEN H. PONAS, MD

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