30D0716391 CLIA NUMBER - CORE UROLOGY

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CLIA Record

Field Name Field Value
CLIA Number 30D0716391
LAB Type Physician Office
Facility Name CORE UROLOGY
Street 3 ALUMNI DRIVE SUITE 204
City EXETER
State NH
ZIP 03833
Phone 603 658-1277
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 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Physician Office
Lab Director E WILLIAM JOHNSON

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