11D2068851 CLIA NUMBER - ALBANY UROLOGY SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 11D2068851
  • Facility Name: ALBANY UROLOGY SURGERY CENTER, LLC
  • Facility Address: 2400 OSLER COURT
    ALBANY, GA
    ZIP 31707
  • Facility Phone: 229 883-1503
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. MONAHAN
  • NPI Number: 1346685666
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2068851
LAB Type Ambulatory Surgery Center
Facility Name ALBANY UROLOGY SURGERY CENTER, LLC
Street 2400 OSLER COURT
City ALBANY
State GA
ZIP 31707
Phone 229 883-1503
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL B. MONAHAN

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This page was last updated on: 6/4/2025