05D0681576 CLIA NUMBER - MARK D FRITZLER

Laboratory Demographics

CLIA Number: 05D0681576

Facility Name: MARK D FRITZLER

Facility Address:
645 WEST EAST AVENUE SUITE 1
CHICO, CA
ZIP 95926
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Facility Phone Number: 530 898-8405

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1508862871

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	05D0681576
LAB Type	Physician Office
Facility Name	MARK D FRITZLER
Street	645 WEST EAST AVENUE SUITE 1
City	CHICO
State	CA
ZIP	95926
Phone	530 898-8405
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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