08D1080111 CLIA NUMBER - CHESAPEAKE UROLOGY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 08D1080111
  • Facility Name: CHESAPEAKE UROLOGY ASSOCIATES, LLC
  • Facility Address: 220 PENNSYLVANIA AVENUE
    SEAFORD, DE
    ZIP 19973
  • Facility Phone: 443 738-8170
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARK T. EDNEY
  • NPI Number: 1508249491
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 08D1080111
LAB Type Physician Office
Facility Name CHESAPEAKE UROLOGY ASSOCIATES, LLC
Street 220 PENNSYLVANIA AVENUE
City SEAFORD
State DE
ZIP 19973
Phone 443 738-8170
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 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director DR. MARK T. EDNEY

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