44D0980671 CLIA NUMBER - UROLOGY AND UROLOGIC SURGERY, LLC

Laboratory Demographics

CLIA Number: 44D0980671

Facility Name: UROLOGY AND UROLOGIC SURGERY, LLC

Facility Address:
1932 ALCOA HWY STE 475 BLDG C, SUITE A
KNOXVILLE, TN
ZIP 37920
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Facility Phone Number: 865 305-5000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1962532515

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 44D0980671
LAB Type Physician Office
Facility Name UROLOGY AND UROLOGIC SURGERY, LLC
Street 1932 ALCOA HWY STE 475 BLDG C, SUITE A
City KNOXVILLE
State TN
ZIP 37920
Phone 865 305-5000
CertificateType 3
CertificateEffectiveDate 4/24/2023
CertificateExpirationDate 4/23/2025
FacilityType PPMP

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