11D0265055 CLIA NUMBER - WAYCROSS UROLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 11D0265055
  • Facility Name: WAYCROSS UROLOGY CLINIC
  • Facility Address: 1306 ALICE STREET
    WAYCROSS, GA
    ZIP 31501
  • Facility Phone: 912 283-7951
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES W. DYE MD
  • NPI Number: 1902881378
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D0265055
LAB Type Physician Office
Facility Name WAYCROSS UROLOGY CLINIC
Street 1306 ALICE STREET
City WAYCROSS
State GA
ZIP 31501
Phone 912 283-7951
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director JAMES W. DYE MD

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