34D0718713 CLIA NUMBER - WILSON UROLOGY

Laboratory Demographics

CLIA Number: 34D0718713

Facility Name: WILSON UROLOGY

Facility Address:
1700 TARBARO ST SW ST 203
WILSON, NC
ZIP 27893
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Facility Phone Number: 252 399-5300

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1992762728

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	34D0718713
LAB Type	Physician Office
Facility Name	WILSON UROLOGY
Street	1700 TARBARO ST SW ST 203
City	WILSON
State	NC
ZIP	27893
Phone	252 399-5300
CertificateType	3
CertificateEffectiveDate	5/27/2022
CertificateExpirationDate	5/26/2024
FacilityType	PPMP

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