10D0296128 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC

Laboratory Demographics

CLIA Number: 10D0296128

Facility Name: GENESISCARE USA OF FLORIDA, LLC

Facility Address:
1 S SCHOOL AVE STE 200
SARASOTA, FL
ZIP 34237
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Facility Phone Number: 941 309-7000

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1396019378

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	10D0296128
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA, LLC
Street	1 S SCHOOL AVE STE 200
City	SARASOTA
State	FL
ZIP	34237
Phone	941 309-7000
CertificateType	2
CertificateEffectiveDate	1/7/2023
CertificateExpirationDate	1/6/2025
FacilityType	Compliance

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