10D2160125 CLIA NUMBER - UROLOGIC INTEGRATED CARE LLC DBA UROLOGIC INTEGRATED CARE

Laboratory Demographics

  • CLIA Code: 10D2160125
  • Facility Name: UROLOGIC INTEGRATED CARE LLC DBA UROLOGIC INTEGRATED CARE
  • Facility Address: 1201 NW 64TH TER
    GAINESVILLE, FL
    ZIP 32605
  • Facility Phone: 352 204-5400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTORIA Y. BIRD
  • NPI Number: 1104392232
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 10D2160125
LAB Type Physician Office
Facility Name UROLOGIC INTEGRATED CARE LLC DBA UROLOGIC INTEGRATED CARE
Street 1201 NW 64TH TER
City GAINESVILLE
State FL
ZIP 32605
Phone 352 204-5400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Physician Office
Lab Director VICTORIA Y. BIRD

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