10D2187961 CLIA NUMBER - OM UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2187961
  • Facility Name: OM UROLOGY LLC
  • Facility Address: 3160 WEST EAU GALLIE BLVD SUITE 101
    MELBOURNE, FL
    ZIP 32934
  • Facility Phone: 321 241-6574
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PIYUSH N. JOSHI
  • NPI Number: 1346462710
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2187961
LAB Type Physician Office
Facility Name OM UROLOGY LLC
Street 3160 WEST EAU GALLIE BLVD SUITE 101
City MELBOURNE
State FL
ZIP 32934
Phone 321 241-6574
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Physician Office
Lab Director PIYUSH N. JOSHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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