45D0884173 CLIA NUMBER - NORTHWOODS UROLOGY OF TEXAS, PLLC

Laboratory Demographics

CLIA Number: 45D0884173

Facility Name: NORTHWOODS UROLOGY OF TEXAS, PLLC

Facility Address:
135 VISION PARK BLVD
SHENANDOAH, TX
ZIP 77384
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Facility Phone Number: 919 766-8791

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1740549542

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D0884173
LAB Type	Physician Office
Facility Name	NORTHWOODS UROLOGY OF TEXAS, PLLC
Street	135 VISION PARK BLVD
City	SHENANDOAH
State	TX
ZIP	77384
Phone	919 766-8791
CertificateType	2
CertificateEffectiveDate	7/7/2022
CertificateExpirationDate	7/6/2024
FacilityType	Compliance

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