10D0857904 CLIA NUMBER - UROLOGY ASSOCIATES OF NORTHEAST FLORIDA

Laboratory Demographics

  • CLIA Code: 10D0857904
  • Facility Name: UROLOGY ASSOCIATES OF NORTHEAST FLORIDA
  • Facility Address: 1715 VILLAGE WAY
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 264-8418
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARC E. BLASSER
  • NPI Number: 1932444254
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D0857904
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES OF NORTHEAST FLORIDA
Street 1715 VILLAGE WAY
City ORANGE PARK
State FL
ZIP 32073
Phone 904 264-8418
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARC E. BLASSER

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