10D2233909 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE

Laboratory Demographics

  • CLIA Code: 10D2233909
  • Facility Name: ADVANCED UROLOGY INSTITUTE
  • Facility Address: 900 N SWALLOW TAIL DR #106
    PORT ORANGE, FL
    ZIP 32129
  • Facility Phone: 352 430-2937
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL LAWINDY
  • NPI Number: 1669503264
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 10D2233909
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE
Street 900 N SWALLOW TAIL DR #106
City PORT ORANGE
State FL
ZIP 32129
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 8/26/2025
Certificate Expiration Date 8/25/2027
Facility Type Physician Office
Lab Director SAMUEL LAWINDY

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