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03D2106170 CLIA NUMBER - ARIZONA UROLOGY SPECIALISTS, PLLC

Laboratory Demographics

CLIA Number: 03D2106170

Facility Name: ARIZONA UROLOGY SPECIALISTS, PLLC

Facility Address:
2530 E SOUTHERN AVE
MESA, AZ
ZIP 85204
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Facility Phone Number: 480 834-4188

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1740426485

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name Field Value
CLIA Number 03D2106170
LAB Type Physician Office
Facility Name ARIZONA UROLOGY SPECIALISTS, PLLC
Street 2530 E SOUTHERN AVE
City MESA
State AZ
ZIP 85204
Phone 480 834-4188
CertificateType 4
CertificateEffectiveDate 12/11/2023
CertificateExpirationDate 12/10/2025
FacilityType Waiver

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