34D0244959 CLIA NUMBER - CFV UROLOGY - OWEN PARK

Laboratory Demographics

CLIA Number: 34D0244959

Facility Name: CFV UROLOGY - OWEN PARK

Facility Address:
1537 OWEN PARK LANE
FAYETTEVILLE, NC
ZIP 28304
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Facility Phone Number: 910 862-5139

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548755903

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	34D0244959
LAB Type	Physician Office
Facility Name	CFV UROLOGY - OWEN PARK
Street	1537 OWEN PARK LANE
City	FAYETTEVILLE
State	NC
ZIP	28304
Phone	910 862-5139
CertificateType	4
CertificateEffectiveDate	8/7/2023
CertificateExpirationDate	8/6/2025
FacilityType	Waiver

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