10D1082520 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D1082520
  • Facility Name: ADVANCED UROLOGY INSTITUTE
  • Facility Address: 1620 MASON AVE
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 239-8500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW M. MERRELL
  • NPI Number: 1659726248
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D1082520
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE
Street 1620 MASON AVE
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 239-8500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director MATTHEW M. MERRELL

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