34D2271800 CLIA NUMBER - ASHE UROLOGY

Laboratory Demographics

  • CLIA Code: 34D2271800
  • Facility Name: ASHE UROLOGY
  • Facility Address: 200 HOSPITAL AVE, SUITE 7
    JEFFERSON, NC
    ZIP 28640
  • Facility Phone: 336 846-0828
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBERT S. GRAJEWSKI
  • NPI Number: 1366174682
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 34D2271800
LAB Type Physician Office
Facility Name ASHE UROLOGY
Street 200 HOSPITAL AVE, SUITE 7
City JEFFERSON
State NC
ZIP 28640
Phone 336 846-0828
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director DR. ROBERT S. GRAJEWSKI

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This page was last updated on: 9/29/2025