34D2188065 CLIA NUMBER - GENESISCARE USA OF NORTH CAROLINA

Laboratory Demographics

CLIA Number: 34D2188065

Facility Name: GENESISCARE USA OF NORTH CAROLINA

Facility Address:
1 HOSPITAL DRIVE SUITE 102
ASHEVILLE, NC
ZIP 28801
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Facility Phone Number: 828 253-5314

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538443254

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	34D2188065
LAB Type	Physician Office
Facility Name	GENESISCARE USA OF NORTH CAROLINA
Street	1 HOSPITAL DRIVE SUITE 102
City	ASHEVILLE
State	NC
ZIP	28801
Phone	828 253-5314
CertificateType	4
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	Waiver

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