10D0991409 CLIA NUMBER - COSME A GOMEZ MD UROLOGY SPECIALTY CARE

Laboratory Demographics

CLIA Number: 10D0991409

Facility Name: COSME A GOMEZ MD UROLOGY SPECIALTY CARE

Facility Address:
GALLOWAY MEDICAL PAVILLION 7600 SW 87 AVE STE 206
MIAMI, FL
ZIP 33173
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Facility Phone Number: 305 275-5525

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316918485

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 10D0991409
LAB Type Physician Office
Facility Name COSME A GOMEZ MD UROLOGY SPECIALTY CARE
Street GALLOWAY MEDICAL PAVILLION 7600 SW 87 AVE STE 206
City MIAMI
State FL
ZIP 33173
Phone 305 275-5525
CertificateType 4
CertificateEffectiveDate 9/20/2023
CertificateExpirationDate 9/19/2025
FacilityType Waiver

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