10D2147701 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 10D2147701
  • Facility Name: ADVANCED UROLOGY INSTITUTE, LLC
  • Facility Address: 430 MORTON PLANT ST - STE 208
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 352 430-8237
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WEBB R. MCCANSE
  • NPI Number: 1700319555
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2147701
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE, LLC
Street 430 MORTON PLANT ST - STE 208
City CLEARWATER
State FL
ZIP 33756
Phone 352 430-8237
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2024
Certificate Expiration Date 4/23/2026
Facility Type Physician Office
Lab Director WEBB R. MCCANSE

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This page was last updated on: 3/20/2025