11D0938125 CLIA NUMBER - AUGUSTA UROLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 11D0938125
  • Facility Name: AUGUSTA UROLOGY ASSOCIATES LLC
  • Facility Address: 4350 TOWNE CENTRE DRIVE, STE 2200
    EVANS, GA
    ZIP 30809
  • Facility Phone: 706 722-0705
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: HENRY NORTH GOODWIN
  • NPI Number: 1922750462
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 11D0938125
LAB Type Physician Office
Facility Name AUGUSTA UROLOGY ASSOCIATES LLC
Street 4350 TOWNE CENTRE DRIVE, STE 2200
City EVANS
State GA
ZIP 30809
Phone 706 722-0705
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 9/16/2024
Certificate Expiration Date 9/15/2026
Facility Type Physician Office
Lab Director HENRY NORTH GOODWIN

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