03D2175595 CLIA NUMBER - INTEGRATIVE UROLOGY PLLC

Laboratory Demographics

  • CLIA Code: 03D2175595
  • Facility Name: INTEGRATIVE UROLOGY PLLC
  • Facility Address: 2222 E HIGHLAND AVE SUITE 206
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 900-8003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOON M. HONG
  • NPI Number: 1497397814
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 03D2175595
LAB Type Physician Office
Facility Name INTEGRATIVE UROLOGY PLLC
Street 2222 E HIGHLAND AVE SUITE 206
City PHOENIX
State AZ
ZIP 85016
Phone 602 900-8003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/25/2023
Certificate Expiration Date 11/24/2025
Facility Type Physician Office
Lab Director YOON M. HONG

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This page was last updated on: 3/20/2025