45D1077732 CLIA NUMBER - CORPUS CHRISTI UROLOGY GROUP PLLC

Laboratory Demographics

  • CLIA Code: 45D1077732
  • Facility Name: CORPUS CHRISTI UROLOGY GROUP PLLC
  • Facility Address: 5134 CARROLL LANE
    CORPUS CHRISTI, TX
    ZIP 78415
  • Facility Phone: 361 884-6381
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JASON D. FISHER
  • NPI Number: 1073913976
  • Taxonomy: 261QP3300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1077732
LAB Type Physician Office
Facility Name CORPUS CHRISTI UROLOGY GROUP PLLC
Street 5134 CARROLL LANE
City CORPUS CHRISTI
State TX
ZIP 78415
Phone 361 884-6381
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 8/28/2023
Certificate Expiration Date 8/27/2025
Facility Type Physician Office
Lab Director JASON D. FISHER

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This page was last updated on: 3/20/2025