11D0949726 CLIA NUMBER - GEORGIA UROLOGY PA - ROCKDALE

Laboratory Demographics

  • CLIA Code: 11D0949726
  • Facility Name: GEORGIA UROLOGY PA - ROCKDALE
  • Facility Address: 1301 SIGMAN ROAD, SUITE 250 A
    CONYERS, GA
    ZIP 30012
  • Facility Phone: 770 760-9900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BERT T. CHEN
  • NPI Number: 1245455435
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D0949726
LAB Type Physician Office
Facility Name GEORGIA UROLOGY PA - ROCKDALE
Street 1301 SIGMAN ROAD, SUITE 250 A
City CONYERS
State GA
ZIP 30012
Phone 770 760-9900
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 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director BERT T. CHEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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