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07D2183034 CLIA NUMBER - UROLOGY ASSOCIATES OF WATERBURY LLC

Laboratory Demographics

CLIA Number: 07D2183034

Facility Name: UROLOGY ASSOCIATES OF WATERBURY LLC

Facility Address:
1320 WEST MAIN ST, BUILDING - 2
WATERBURY, CT
ZIP 06708
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Facility Phone Number: 203 757-8361

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1457995433

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 07D2183034
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES OF WATERBURY LLC
Street 1320 WEST MAIN ST, BUILDING - 2
City WATERBURY
State CT
ZIP 06708
Phone 203 757-8361
CertificateType 4
CertificateEffectiveDate 4/29/2024
CertificateExpirationDate 4/28/2026
FacilityType Waiver

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