19D1053522 CLIA NUMBER - WK SIGNATURE UROLOGY

Laboratory Demographics

CLIA Number: 19D1053522

Facility Name: WK SIGNATURE UROLOGY

Facility Address:
2551 GREENWOOD ROAD SUITE 140
SHREVEPORT, LA
ZIP 71103
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Facility Phone Number: 318 212-8899

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1225093610

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

CLIA Record

Field Name	Field Value
CLIA Number	19D1053522
LAB Type	Physician Office
Facility Name	WK SIGNATURE UROLOGY
Street	2551 GREENWOOD ROAD SUITE 140
City	SHREVEPORT
State	LA
ZIP	71103
Phone	318 212-8899
CertificateType	3
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	12/13/2025
FacilityType	PPMP

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