10D2131027 CLIA NUMBER - GULFSTREAM UROLOGY

Laboratory Demographics

CLIA Number: 10D2131027

Facility Name: GULFSTREAM UROLOGY

Facility Address:
14320 METROPOLIS AVE STE 1
FORT MYERS, FL
ZIP 33912
Get Directions

Facility Phone Number: 239 223-0342

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518105394

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	10D2131027
LAB Type	Physician Office
Facility Name	GULFSTREAM UROLOGY
Street	14320 METROPOLIS AVE STE 1
City	FORT MYERS
State	FL
ZIP	33912
Phone	239 223-0342
CertificateType	4
CertificateEffectiveDate	5/22/2023
CertificateExpirationDate	5/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024