11D0877050 CLIA NUMBER - AUGUSTA UROLOGY ASSOCIATES PC

Laboratory Demographics

CLIA Number: 11D0877050

Facility Name: AUGUSTA UROLOGY ASSOCIATES PC

Facility Address:
818 ST SEBASTIAN WAY, STE 403
AUGUSTA, GA
ZIP 30901
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Facility Phone Number: 706 733-9461

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366511834

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	11D0877050
LAB Type	Physician Office
Facility Name	AUGUSTA UROLOGY ASSOCIATES PC
Street	818 ST SEBASTIAN WAY, STE 403
City	AUGUSTA
State	GA
ZIP	30901
Phone	706 733-9461
CertificateType	3
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024