11D1054259 CLIA NUMBER - UROLOGY SURGICAL PARTNERS LLC

Laboratory Demographics

  • CLIA Code: 11D1054259
  • Facility Name: UROLOGY SURGICAL PARTNERS LLC
  • Facility Address: 5673 PEACHTREE DUNWOODY RD, STE 900, ATTN CAROL
    ATLANTA, GA
    ZIP 30342
  • Facility Phone: 770 650-1389
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAMS L. NABORS
  • NPI Number: 1083653554
  • Taxonomy: 261QA1903X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Ambulatory Surgery Center
Lab Director WILLIAMS L. NABORS

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