11D1092050 CLIA NUMBER - UROLOGICAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 11D1092050
  • Facility Name: UROLOGICAL HEALTH CENTER
  • Facility Address: 1770 WATSON BOULEVARD
    WARNER ROBINS, GA
    ZIP 31093
  • Facility Phone: 478 333-6961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELVIN FUSSELL
  • NPI Number: 1134497910
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D1092050
LAB Type Physician Office
Facility Name UROLOGICAL HEALTH CENTER
Street 1770 WATSON BOULEVARD
City WARNER ROBINS
State GA
ZIP 31093
Phone 478 333-6961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director MELVIN FUSSELL

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