45D2077617 CLIA NUMBER - MAINLAND UROLOGY CLINIC PA

Laboratory Demographics

  • CLIA Code: 45D2077617
  • Facility Name: MAINLAND UROLOGY CLINIC PA
  • Facility Address: 313 FM 517 WEST
    DICKINSON, TX
    ZIP 77539
  • Facility Phone: 281 534-7141
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MATTHEW M. ROBINSON
  • NPI Number: 1871775486
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 45D2077617
LAB Type Physician Office
Facility Name MAINLAND UROLOGY CLINIC PA
Street 313 FM 517 WEST
City DICKINSON
State TX
ZIP 77539
Phone 281 534-7141
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 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director MATTHEW M. ROBINSON

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