06D0933988 CLIA NUMBER - ADVANCED UROLOGY, PLLC

Laboratory Demographics

  • CLIA Code: 06D0933988
  • Facility Name: ADVANCED UROLOGY, PLLC
  • Facility Address: 2030 MOUNTAIN VIEW AVE, SUITE 420
    LONGMONT, CO
    ZIP 80501
  • Facility Phone: 303 776-9400
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOHN PADDACK
  • NPI Number: 1629628201
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 06D0933988
LAB Type Physician Office
Facility Name ADVANCED UROLOGY, PLLC
Street 2030 MOUNTAIN VIEW AVE, SUITE 420
City LONGMONT
State CO
ZIP 80501
Phone 303 776-9400
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 6/24/2025
Certificate Expiration Date 6/23/2027
Facility Type Physician Office
Lab Director DR. JOHN PADDACK

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