05D2027318 CLIA NUMBER - GOLDEN GATE UROLOGY INC

Laboratory Demographics

  • CLIA Code: 05D2027318
  • Facility Name: GOLDEN GATE UROLOGY INC
  • Facility Address: 2999 REGENT ST STE 612
    BERKELEY, CA
    ZIP 94705
  • Facility Phone: 510 495-3332
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW J. PIENKNY
  • NPI Number: 1326585449
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 05D2027318
LAB Type Physician Office
Facility Name GOLDEN GATE UROLOGY INC
Street 2999 REGENT ST STE 612
City BERKELEY
State CA
ZIP 94705
Phone 510 495-3332
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Physician Office
Lab Director ANDREW J. PIENKNY

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