10D2165243 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE LLC

Laboratory Demographics

  • CLIA Code: 10D2165243
  • Facility Name: ADVANCED UROLOGY INSTITUTE LLC
  • Facility Address: 6811 PALISADES COURT PARK SUITES 1-4
    FORT MYERS, FL
    ZIP 33912
  • Facility Phone: 352 430-2937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID S. HARRIS
  • NPI Number: 1649293523
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2165243
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE LLC
Street 6811 PALISADES COURT PARK SUITES 1-4
City FORT MYERS
State FL
ZIP 33912
Phone 352 430-2937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director DAVID S. HARRIS

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