45D0504977 CLIA NUMBER - MIDTOWN UROLOGY ASSOCIATES, PA

Laboratory Demographics

CLIA Number: 45D0504977

Facility Name: MIDTOWN UROLOGY ASSOCIATES, PA

Facility Address:
911 W 38TH ST STE 200
AUSTIN, TX
ZIP 78705
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Facility Phone Number: 512 451-7935

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982894580

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	45D0504977
LAB Type	Physician Office
Facility Name	MIDTOWN UROLOGY ASSOCIATES, PA
Street	911 W 38TH ST STE 200
City	AUSTIN
State	TX
ZIP	78705
Phone	512 451-7935
CertificateType	4
CertificateEffectiveDate	11/12/2022
CertificateExpirationDate	11/11/2024
FacilityType	Waiver

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