32D2014022 CLIA NUMBER - CHRISTUS ST VINCENT UROLOGY ASSOCIATES

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Laboratory Demographics

CLIA Number: 32D2014022

Facility Name: CHRISTUS ST VINCENT UROLOGY ASSOCIATES

Facility Address:
465 ST MICHAELS DRIVE SUITE 110
SANTA FE, NM
ZIP 87505
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Facility Phone Number: 505 982-3534

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1851684567

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	32D2014022
LAB Type	Physician Office
Facility Name	CHRISTUS ST VINCENT UROLOGY ASSOCIATES
Street	465 ST MICHAELS DRIVE SUITE 110
City	SANTA FE
State	NM
ZIP	87505
Phone	505 982-3534
CertificateType	3
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	PPMP

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