45D0950633 CLIA NUMBER - NORTH CENTRAL UROLOGY, PA

Laboratory Demographics

  • CLIA Code: 45D0950633
  • Facility Name: NORTH CENTRAL UROLOGY, PA
  • Facility Address: 4218 GATEWAY DRIVE SUITE 100
    COLLEYVILLE, TX
    ZIP 76034
  • Facility Phone: 817 283-1860
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DENNIS L. ORTIZ
  • NPI Number: 1174703623
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D0950633
LAB Type Physician Office
Facility Name NORTH CENTRAL UROLOGY, PA
Street 4218 GATEWAY DRIVE SUITE 100
City COLLEYVILLE
State TX
ZIP 76034
Phone 817 283-1860
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 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director DENNIS L. ORTIZ

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