10D2039700 CLIA NUMBER - GOUSSE UROLOGY, LLC

Laboratory Demographics

  • CLIA Code: 10D2039700
  • Facility Name: GOUSSE UROLOGY, LLC
  • Facility Address: 21150 BISCAYNE BLVD STE 304
    AVENTURA, FL
    ZIP 33180
  • Facility Phone: 954 362-2720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELO E. GOUSSE
  • NPI Number: 1912450289
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2039700
LAB Type Physician Office
Facility Name GOUSSE UROLOGY, LLC
Street 21150 BISCAYNE BLVD STE 304
City AVENTURA
State FL
ZIP 33180
Phone 954 362-2720
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Physician Office
Lab Director ANGELO E. GOUSSE

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