10D2025450 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2025450
  • Facility Name: ADVANCED UROLOGY INSTITUTE
  • Facility Address: 110 NE 5TH ST
    CARRABELLE, FL
    ZIP 32322
  • Facility Phone: 850 309-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES E. RENEHAN
  • NPI Number: 1023480217
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D2025450
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE
Street 110 NE 5TH ST
City CARRABELLE
State FL
ZIP 32322
Phone 850 309-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Physician Office
Lab Director JAMES E. RENEHAN

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