11D2145718 CLIA NUMBER - ADVANCED UROLOGY

Laboratory Demographics

  • CLIA Code: 11D2145718
  • Facility Name: ADVANCED UROLOGY
  • Facility Address: 501 CROWN POINTE WAY
    LAWRENCEVILLE, GA
    ZIP 30046
  • Facility Phone: 678 344-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JITESH V. PATEL
  • NPI Number: 1831659440
  • Taxonomy: 207VF0040X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2145718
LAB Type Physician Office
Facility Name ADVANCED UROLOGY
Street 501 CROWN POINTE WAY
City LAWRENCEVILLE
State GA
ZIP 30046
Phone 678 344-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director JITESH V. PATEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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