10D1006176 CLIA NUMBER - GENESISCARE USA OF FLORIDA, LLC DBA FLORIDA UROLOGY PHYSICIANS

Laboratory Demographics

CLIA Number: 10D1006176

Facility Name: GENESISCARE USA OF FLORIDA, LLC DBA FLORIDA UROLOGY PHYSICIANS

Facility Address:
1419 VISCAYA PARKWAY
CAPE CORAL, FL
ZIP 33990
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Facility Phone Number: 239 689-8800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1114076171

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	10D1006176
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF FLORIDA, LLC DBA FLORIDA UROLOGY PHYSICIANS
Street	1419 VISCAYA PARKWAY
City	CAPE CORAL
State	FL
ZIP	33990
Phone	239 689-8800
CertificateType	3
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
FacilityType	PPMP

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