05D1091039 CLIA NUMBER - NORCAL UROLOGY MEDICAL GROUP

Laboratory Demographics

CLIA Number: 05D1091039

Facility Name: NORCAL UROLOGY MEDICAL GROUP

Facility Address:
2700 GRANT ST #316
CONCORD, CA
ZIP 94520
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Facility Phone Number: 925 418-0279

Facility Type: Independent

Certificate Type: Microscopy

NPI Number: 1174773774

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	05D1091039
LAB Type	Independent
Facility Name	NORCAL UROLOGY MEDICAL GROUP
Street	2700 GRANT ST #316
City	CONCORD
State	CA
ZIP	94520
Phone	925 418-0279
CertificateType	3
CertificateEffectiveDate	10/23/2022
CertificateExpirationDate	10/22/2024
FacilityType	PPMP

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