31D0112337 CLIA NUMBER - UROLOGIC SPECIALTIES PA

Laboratory Demographics

  • CLIA Code: 31D0112337
  • Facility Name: UROLOGIC SPECIALTIES PA
  • Facility Address: 177 NORTH DEAN STREET, 3RD FLOOR SUITE 305
    ENGLEWOOD, NJ
    ZIP 07631
  • Facility Phone: 201 569-7777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RICHARD LEE
  • NPI Number: 1154403418
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 31D0112337
LAB Type Physician Office
Facility Name UROLOGIC SPECIALTIES PA
Street 177 NORTH DEAN STREET, 3RD FLOOR SUITE 305
City ENGLEWOOD
State NJ
ZIP 07631
Phone 201 569-7777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director DR. RICHARD LEE

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