11D0900486 CLIA NUMBER - ATHENA UROLOGY ASSOCIATES PC

Laboratory Demographics

CLIA Number: 11D0900486

Facility Name: ATHENA UROLOGY ASSOCIATES PC

Facility Address:
195 KING AVE
ATHENS, GA
ZIP 30606
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Facility Phone Number: 706 543-6261

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1518045319

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D0900486
LAB Type	Physician Office
Facility Name	ATHENA UROLOGY ASSOCIATES PC
Street	195 KING AVE
City	ATHENS
State	GA
ZIP	30606
Phone	706 543-6261
CertificateType	3
CertificateEffectiveDate	4/28/2023
CertificateExpirationDate	4/27/2025
FacilityType	PPMP

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