34D0245849 CLIA NUMBER - UROLOGY ASSOCIATES OF SOUTHEASTERN NC PA

Laboratory Demographics

CLIA Number: 34D0245849

Facility Name: UROLOGY ASSOCIATES OF SOUTHEASTERN NC PA

Facility Address:
1905 GLEN MEADE ROAD
WILMINGTON, NC
ZIP 28403
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Facility Phone Number: 910 763-6251

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1407875610

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 34D0245849
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES OF SOUTHEASTERN NC PA
Street 1905 GLEN MEADE ROAD
City WILMINGTON
State NC
ZIP 28403
Phone 910 763-6251
CertificateType 1
CertificateEffectiveDate 5/4/2023
CertificateExpirationDate 5/3/2025
FacilityType Accreditation

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