10D2105811 CLIA NUMBER - FLORIDA UROLOGY PARTNERS LLP

Laboratory Demographics

  • CLIA Code: 10D2105811
  • Facility Name: FLORIDA UROLOGY PARTNERS LLP
  • Facility Address: 3140 S FALKENBURG RD STE 203
    RIVERVIEW, FL
    ZIP 33578
  • Facility Phone: 813 258-9565
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVIENDER BUKKAPATNAM
  • NPI Number: 1891154498
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 10D2105811
LAB Type Physician Office
Facility Name FLORIDA UROLOGY PARTNERS LLP
Street 3140 S FALKENBURG RD STE 203
City RIVERVIEW
State FL
ZIP 33578
Phone 813 258-9565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director RAVIENDER BUKKAPATNAM

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