41D0692414 CLIA NUMBER - BROWN UROLOGY

Laboratory Demographics

  • CLIA Code: 41D0692414
  • Facility Name: BROWN UROLOGY
  • Facility Address: 195 COLLYER STREET SUITE 201
    PROVIDENCE, RI
    ZIP 02904
  • Facility Phone: 401 435-4450
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK SIGMAN MD
  • NPI Number: 1336616499
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 41D0692414
LAB Type Physician Office
Facility Name BROWN UROLOGY
Street 195 COLLYER STREET SUITE 201
City PROVIDENCE
State RI
ZIP 02904
Phone 401 435-4450
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARK SIGMAN MD

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