11D2327216 CLIA NUMBER - ADVANCED UROLOGY INSTITUTE OF GEORGIA, PC

Laboratory Demographics

  • CLIA Code: 11D2327216
  • Facility Name: ADVANCED UROLOGY INSTITUTE OF GEORGIA, PC
  • Facility Address: 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 180
    CUMMING, GA
    ZIP 30040
  • Facility Phone: (678) 344-8900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KUSHAN D. RADADIA
  • NPI Number: 1073896510
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 11D2327216
LAB Type Physician Office
Facility Name ADVANCED UROLOGY INSTITUTE OF GEORGIA, PC
Street 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 180
City CUMMING
State GA
ZIP 30040
Phone 6783448900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Physician Office
Lab Director KUSHAN D. RADADIA

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This page was last updated on: 6/29/2026