10D1043129 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 10D1043129
  • Facility Name: ADVANCED UROLOGY INSTITUTE, LLC
  • Facility Address: 2044 TRINITY OAKS BLVD STE 225
    NEW PORT RICHEY, FL
    ZIP 34655
  • Facility Phone: 727 785-6011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARTIN RICHMAN
  • NPI Number: 1407201346
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D1043129
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE, LLC
Street 2044 TRINITY OAKS BLVD STE 225
City NEW PORT RICHEY
State FL
ZIP 34655
Phone 727 785-6011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director MARTIN RICHMAN

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