45D2299653 CLIA NUMBER - BTX PREMIER UROLOGY PA

Laboratory Demographics

  • CLIA Code: 45D2299653
  • Facility Name: BTX PREMIER UROLOGY PA
  • Facility Address: 800 W JEFFERSON ST STE 170
    BROWNSVILLE, TX
    ZIP 78520
  • Facility Phone: (956) 255-5010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENNETH A. EWANE
  • NPI Number: 1962274977
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 45D2299653
LAB Type Physician Office
Facility Name BTX PREMIER UROLOGY PA
Street 800 W JEFFERSON ST STE 170
City BROWNSVILLE
State TX
ZIP 78520
Phone 9562555010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2026
Certificate Expiration Date 2/22/2028
Facility Type Physician Office
Lab Director KENNETH A. EWANE

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This page was last updated on: 5/18/2026