11D1054259 CLIA NUMBER - UROLOGY SURGICAL PARTNERS LLC

Laboratory Demographics

CLIA Number: 11D1054259

Facility Name: UROLOGY SURGICAL PARTNERS LLC

Facility Address:
5673 PEACHTREE DUNWOODY RD, STE 900, ATTN CAROL
ATLANTA, GA
ZIP 30342
Get Directions

Facility Phone Number: 770 650-1389

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1083653554

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1054259
LAB Type	Ambulatory Surgery Center
Facility Name	UROLOGY SURGICAL PARTNERS LLC
Street	5673 PEACHTREE DUNWOODY RD, STE 900, ATTN CAROL
City	ATLANTA
State	GA
ZIP	30342
Phone	770 650-1389
CertificateType	4
CertificateEffectiveDate	5/16/2024
CertificateExpirationDate	5/15/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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