05D2076719 CLIA NUMBER - SCOTT L BROWN MD A PROFESSIONAL CORPORATION

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Laboratory Demographics

CLIA Number: 05D2076719

Facility Name: SCOTT L BROWN MD A PROFESSIONAL CORPORATION

Facility Address:
8881 FLETCHER PARKWAY, STE 250
LA MESA, CA
ZIP 91942
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Facility Phone Number: 619 828-1000

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477592681

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	05D2076719
LAB Type	Physician Office
Facility Name	SCOTT L BROWN MD A PROFESSIONAL CORPORATION
Street	8881 FLETCHER PARKWAY, STE 250
City	LA MESA
State	CA
ZIP	91942
Phone	619 828-1000
CertificateType	4
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	Waiver

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