04D2270323 CLIA NUMBER - UROLOGY GROUP PC, THE

Laboratory Demographics

  • CLIA Code: 04D2270323
  • Facility Name: UROLOGY GROUP PC, THE
  • Facility Address: 944 STATE HIGHWAY 77
    MARION, AR
    ZIP 72364
  • Facility Phone: 901 767-8158
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANNE JORDAN
  • NPI Number: 1184322067
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 04D2270323
LAB Type Independent
Facility Name UROLOGY GROUP PC, THE
Street 944 STATE HIGHWAY 77
City MARION
State AR
ZIP 72364
Phone 901 767-8158
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/3/2023
Certificate Expiration Date 10/2/2025
Facility Type Independent
Lab Director DR. ANNE JORDAN

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