03D1075315 CLIA NUMBER - YUMA UROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 03D1075315
  • Facility Name: YUMA UROLOGY CENTER
  • Facility Address: 2275 S ELKS LN
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 257-8699
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NATAKOM N. CHULAMORKODT
  • NPI Number: 1841482577
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D1075315
LAB Type Physician Office
Facility Name YUMA UROLOGY CENTER
Street 2275 S ELKS LN
City YUMA
State AZ
ZIP 85364
Phone 928 257-8699
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2024
Certificate Expiration Date 8/2/2026
Facility Type Physician Office
Lab Director NATAKOM N. CHULAMORKODT

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