11D1092050 CLIA NUMBER - UROLOGICAL HEALTH CENTER

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Laboratory Demographics

CLIA Number: 11D1092050

Facility Name: UROLOGICAL HEALTH CENTER

Facility Address:
1770 WATSON BOULEVARD
WARNER ROBINS, GA
ZIP 31093
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Facility Phone Number: 478 333-6961

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1134497910

Taxonomy: 261QA1903X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	7/11/2022
CertificateExpirationDate	7/10/2024
FacilityType	Waiver

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