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08D2127866 CLIA NUMBER - UROLOGY ASSOCIATES OF DELAWARE

Laboratory Demographics

CLIA Number: 08D2127866

Facility Name: UROLOGY ASSOCIATES OF DELAWARE

Facility Address:
611 FEDERAL STREET SUITE 5
MILTON, DE
ZIP 19968
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Facility Phone Number: 302 736-1320

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1396730974

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 08D2127866
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES OF DELAWARE
Street 611 FEDERAL STREET SUITE 5
City MILTON
State DE
ZIP 19968
Phone 302 736-1320
CertificateType 4
CertificateEffectiveDate 3/21/2023
CertificateExpirationDate 3/20/2025
FacilityType Waiver

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