10D2289946 CLIA NUMBER - BOWER UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 10D2289946
  • Facility Name: BOWER UROLOGY LLC
  • Facility Address: 1941 SE PORT ST LUCIE BLVD
    PORT SAINT LUCIE, FL
    ZIP 34952
  • Facility Phone: 772 340-6777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL E. BOWER
  • NPI Number: 1467130294
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2289946
LAB Type Physician Office
Facility Name BOWER UROLOGY LLC
Street 1941 SE PORT ST LUCIE BLVD
City PORT SAINT LUCIE
State FL
ZIP 34952
Phone 772 340-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director PAUL E. BOWER

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