05D0577178 CLIA NUMBER - ADVANCED CENTER FOR UROLOGY INC

Laboratory Demographics

  • CLIA Code: 05D0577178
  • Facility Name: ADVANCED CENTER FOR UROLOGY INC
  • Facility Address: 12555 GARDEN GROVE BLVD STE 405
    GARDEN GROVE, CA
    ZIP 92843
  • Facility Phone: 714 534-0744
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUNGHWAN G. CHOI MD
  • NPI Number: 1821256090
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D0577178
LAB Type Physician Office
Facility Name ADVANCED CENTER FOR UROLOGY INC
Street 12555 GARDEN GROVE BLVD STE 405
City GARDEN GROVE
State CA
ZIP 92843
Phone 714 534-0744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director JUNGHWAN G. CHOI MD

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