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10D0865531 CLIA NUMBER - DEARDOURFF, TIMMONS & ASSOCIATES, PA

Laboratory Demographics

CLIA Number: 10D0865531

Facility Name: DEARDOURFF, TIMMONS & ASSOCIATES, PA

Facility Address:
6420 NW 9TH BLVD
GAINESVILLE, FL
ZIP 32605
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Facility Phone Number: 352 331-2332

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1295768398

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 10D0865531
LAB Type Physician Office
Facility Name DEARDOURFF, TIMMONS & ASSOCIATES, PA
Street 6420 NW 9TH BLVD
City GAINESVILLE
State FL
ZIP 32605
Phone 352 331-2332
CertificateType 4
CertificateEffectiveDate 1/18/2023
CertificateExpirationDate 1/17/2025
FacilityType Waiver

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