10D1080850 CLIA NUMBER - UROLOGY PROFESSIONALS LLP

Laboratory Demographics

  • CLIA Code: 10D1080850
  • Facility Name: UROLOGY PROFESSIONALS LLP
  • Facility Address: 2075 LITTLE RD
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 375-7720
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. JUAN N. OTHEGUY
  • NPI Number: 1336264035
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1080850
LAB Type Practitioner Other
Facility Name UROLOGY PROFESSIONALS LLP
Street 2075 LITTLE RD
City TRINITY
State FL
ZIP 34655
Phone 727 375-7720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Practitioner Other
Lab Director DR. JUAN N. OTHEGUY

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