11D1071375 CLIA NUMBER - GEORGIA UROLOGY PA, DULUTH

Laboratory Demographics

CLIA Number: 11D1071375

Facility Name: GEORGIA UROLOGY PA, DULUTH

Facility Address:
6000 HILLANDALE PLACE, SUITE 110
LITHONIA, GA
ZIP 30058
Get Directions

Facility Phone Number: 770 979-9427

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1083851497

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D1071375
LAB Type	Physician Office
Facility Name	GEORGIA UROLOGY PA, DULUTH
Street	6000 HILLANDALE PLACE, SUITE 110
City	LITHONIA
State	GA
ZIP	30058
Phone	770 979-9427
CertificateType	3
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	PPMP

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