11D2323100 CLIA NUMBER - GEORGIA REGIONAL UROLOGY, PC

Laboratory Demographics

  • CLIA Code: 11D2323100
  • Facility Name: GEORGIA REGIONAL UROLOGY, PC
  • Facility Address: 2520 WINDY HILL ROAD, SE, SUITE 305
    MARIETTA, GA
    ZIP 30067
  • Facility Phone: 770 951-0866
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVEN L. PERLOW
  • NPI Number: 1558412502
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2323100
LAB Type Physician Office
Facility Name GEORGIA REGIONAL UROLOGY, PC
Street 2520 WINDY HILL ROAD, SE, SUITE 305
City MARIETTA
State GA
ZIP 30067
Phone 770 951-0866
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/1/2025
Certificate Expiration Date 4/30/2027
Facility Type Physician Office
Lab Director STEVEN L. PERLOW

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