25D0316976 CLIA NUMBER - UROLOGY PROFESSIONAL ASSOCIATION DBA UROLOGIC

Laboratory Demographics

  • CLIA Code: 25D0316976
  • Facility Name: UROLOGY PROFESSIONAL ASSOCIATION DBA UROLOGIC
  • Facility Address: 499 GLOSTER CREEK VLG STE A1 - LAB ROOM 2
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 432-0742
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMES L. PRESCOTT
  • NPI Number: 1508886805
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 25D0316976
LAB Type Physician Office
Facility Name UROLOGY PROFESSIONAL ASSOCIATION DBA UROLOGIC
Street 499 GLOSTER CREEK VLG STE A1 - LAB ROOM 2
City TUPELO
State MS
ZIP 38801
Phone 662 432-0742
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director JAMES L. PRESCOTT

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