03D1101311 CLIA NUMBER - AFFILIATED UROLOGISTS, LTD

Laboratory Demographics

  • CLIA Code: 03D1101311
  • Facility Name: AFFILIATED UROLOGISTS, LTD
  • Facility Address: 20940 N TATUM BLVD, STE 125
    PHOENIX, AZ
    ZIP 85050
  • 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 03D1101311
LAB Type Physician Office
Facility Name AFFILIATED UROLOGISTS, LTD
Street 20940 N TATUM BLVD, STE 125
City PHOENIX
State AZ
ZIP 85050
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 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director STEPHEN H. PONAS, MD

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