11D2057810 CLIA NUMBER - GEORGIA UROLOGY, PA

Laboratory Demographics

  • CLIA Code: 11D2057810
  • Facility Name: GEORGIA UROLOGY, PA
  • Facility Address: 35 COLLIER ROAD, NW, SUITE M 245
    ATLANTA, GA
    ZIP 30309
  • Facility Phone: (678) 205-8211
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT DI MEGLIO
  • NPI Number: 1770821001
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2057810
LAB Type Physician Office
Facility Name GEORGIA UROLOGY, PA
Street 35 COLLIER ROAD, NW, SUITE M 245
City ATLANTA
State GA
ZIP 30309
Phone 6782058211
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2025
Certificate Expiration Date 4/23/2027
Facility Type Physician Office
Lab Director DR. ROBERT DI MEGLIO

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This page was last updated on: 5/15/2026