11D2118827 CLIA NUMBER - ADVANCED UROLOGY - JOHNS CREEK

Laboratory Demographics

  • CLIA Code: 11D2118827
  • Facility Name: ADVANCED UROLOGY - JOHNS CREEK
  • Facility Address: 10730 MEDLOCK BRIDGE ROAD SUITE 110
    JOHNS CREEK, GA
    ZIP 30097
  • Facility Phone: 678 344-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITESH V. PATEL
  • NPI Number: 1427237767
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 11D2118827
LAB Type Physician Office
Facility Name ADVANCED UROLOGY - JOHNS CREEK
Street 10730 MEDLOCK BRIDGE ROAD SUITE 110
City JOHNS CREEK
State GA
ZIP 30097
Phone 678 344-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director JITESH V. PATEL

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