08D2191120 CLIA NUMBER - BRANDYWINE UROLOGY CONSULTANTS, PA

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Laboratory Demographics

CLIA Number: 08D2191120

Facility Name: BRANDYWINE UROLOGY CONSULTANTS, PA

Facility Address:
272 CARTER DRIVE,, SUITE 200
MIDDLETOWN, DE
ZIP 19709
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Facility Phone Number: 302 652-8990

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932132248

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	08D2191120
LAB Type	Physician Office
Facility Name	BRANDYWINE UROLOGY CONSULTANTS, PA
Street	272 CARTER DRIVE,, SUITE 200
City	MIDDLETOWN
State	DE
ZIP	19709
Phone	302 652-8990
CertificateType	4
CertificateEffectiveDate	8/24/2022
CertificateExpirationDate	8/23/2024
FacilityType	Waiver

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