11D0261403 CLIA NUMBER - GAINESVILLE UROLOGY PC

Laboratory Demographics

  • CLIA Code: 11D0261403
  • Facility Name: GAINESVILLE UROLOGY PC
  • Facility Address: 1240 JESSE JEWELL PARKWAY SUITE 200
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 532-8438
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DAVID S. WOO
  • NPI Number: 1407872872
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 11D0261403
LAB Type Physician Office
Facility Name GAINESVILLE UROLOGY PC
Street 1240 JESSE JEWELL PARKWAY SUITE 200
City GAINESVILLE
State GA
ZIP 30501
Phone 770 532-8438
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DR. DAVID S. WOO

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