17D2006992 CLIA NUMBER - ASSOCIATED UROLOGISTS AMBULATORY SURGICAL CENTER

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Laboratory Demographics

CLIA Number: 17D2006992

Facility Name: ASSOCIATED UROLOGISTS AMBULATORY SURGICAL CENTER

Facility Address:
1133 COLLEGE AVE, SUITE G100
MANHATTAN, KS
ZIP 66502
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Facility Phone Number: 785 537-0304

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1184948663

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	17D2006992
LAB Type	Ambulatory Surgery Center
Facility Name	ASSOCIATED UROLOGISTS AMBULATORY SURGICAL CENTER
Street	1133 COLLEGE AVE, SUITE G100
City	MANHATTAN
State	KS
ZIP	66502
Phone	785 537-0304
CertificateType	4
CertificateEffectiveDate	5/5/2024
CertificateExpirationDate	5/4/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024