44D2128687 CLIA NUMBER - UROLOGY GROUP, PC, THE

Laboratory Demographics

  • CLIA Code: 44D2128687
  • Facility Name: UROLOGY GROUP, PC, THE
  • Facility Address: 2996 KATE BOND ROAD, SUITE 307
    BARTLETT, TN
    ZIP 38133
  • Facility Phone: 901 767-8158
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANNE M. JORDAN
  • NPI Number: 1154589901
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 44D2128687
LAB Type Physician Office
Facility Name UROLOGY GROUP, PC, THE
Street 2996 KATE BOND ROAD, SUITE 307
City BARTLETT
State TN
ZIP 38133
Phone 901 767-8158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2025
Certificate Expiration Date 4/3/2027
Facility Type Physician Office
Lab Director DR. ANNE M. JORDAN

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