05D0577178 CLIA NUMBER - ADVANCED CENTER FOR UROLOGY INC

Laboratory Demographics

CLIA Number: 05D0577178

Facility Name: ADVANCED CENTER FOR UROLOGY INC

Facility Address:
12555 GARDEN GROVE BLVD STE 40
GARDEN GROVE, CA
ZIP 92843
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Facility Phone Number: (714) 534-0744

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1821256090

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 05D0577178
LAB Type PHYSICIAN OFFICE
Facility Name ADVANCED CENTER FOR UROLOGY INC
Street 12555 GARDEN GROVE BLVD STE 40
City GARDEN GROVE
State CA
ZIP 92843
Phone (714) 534-0744

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This page was last updated on: 1/7/2022