11D2085595 CLIA NUMBER - GEORGIA UROLOGY, PA

Laboratory Demographics

  • CLIA Code: 11D2085595
  • Facility Name: GEORGIA UROLOGY, PA
  • Facility Address: 5730 GLENRIDGE DRIVE, SUITE 350
    SANDY SPRINGS, GA
    ZIP 30328
  • Facility Phone: 404 292-3727
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARY D. KINSELLA
  • NPI Number: 1871144246
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2085595
LAB Type Physician Office
Facility Name GEORGIA UROLOGY, PA
Street 5730 GLENRIDGE DRIVE, SUITE 350
City SANDY SPRINGS
State GA
ZIP 30328
Phone 404 292-3727
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/8/2023
Certificate Expiration Date 12/7/2025
Facility Type Physician Office
Lab Director MARY D. KINSELLA

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