11D1054347 CLIA NUMBER - PHOEBE UROLOGY

Laboratory Demographics

  • CLIA Code: 11D1054347
  • Facility Name: PHOEBE UROLOGY
  • Facility Address: 1950 PALMYRA RD
    ALBANY, GA
    ZIP 31701
  • Facility Phone: 229 312-8463
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REX O. AJAYI
  • NPI Number: 1356691257
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1054347
LAB Type Physician Office
Facility Name PHOEBE UROLOGY
Street 1950 PALMYRA RD
City ALBANY
State GA
ZIP 31701
Phone 229 312-8463
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director REX O. AJAYI

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