31D0110154 CLIA NUMBER - UROLOGY GROUP

Laboratory Demographics

CLIA Number: 31D0110154

Facility Name: UROLOGY GROUP

Facility Address:
4 GODWIN AVENUE
MIDLAND PARK, NJ
ZIP 07432
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Facility Phone Number: 201 444-7070

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1427012897

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	31D0110154
LAB Type	Physician Office
Facility Name	UROLOGY GROUP
Street	4 GODWIN AVENUE
City	MIDLAND PARK
State	NJ
ZIP	07432
Phone	201 444-7070
CertificateType	2
CertificateEffectiveDate	9/20/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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