10D2152076 CLIA NUMBER - ASSOCIATES IN UROGYNECOLOGY MD LLC

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Laboratory Demographics

CLIA Number: 10D2152076

Facility Name: ASSOCIATES IN UROGYNECOLOGY MD LLC

Facility Address:
1561 WEST FAIRBANKS AVENUE SUITE 205
WINTER PARK, FL
ZIP 32789
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Facility Phone Number: 407 874-8795

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053880054

Taxonomy: 207VF0040X - Obstetrics & Gynecology
An obstetrics & gynecology physician subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

CLIA Record

Field Name	Field Value
CLIA Number	10D2152076
LAB Type	Physician Office
Facility Name	ASSOCIATES IN UROGYNECOLOGY MD LLC
Street	1561 WEST FAIRBANKS AVENUE SUITE 205
City	WINTER PARK
State	FL
ZIP	32789
Phone	407 874-8795
CertificateType	4
CertificateEffectiveDate	8/2/2022
CertificateExpirationDate	8/1/2024
FacilityType	Waiver

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