45D2319246 CLIA NUMBER - UROLOGEX

Laboratory Demographics

  • CLIA Code: 45D2319246
  • Facility Name: UROLOGEX
  • Facility Address: 114 W LOSOYA ST
    DEL RIO, TX
    ZIP 78840
  • Facility Phone: 830 488-6020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VANESSA ORTIZ AVALOS
  • NPI Number: 1013749670
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 45D2319246
LAB Type Physician Office
Facility Name UROLOGEX
Street 114 W LOSOYA ST
City DEL RIO
State TX
ZIP 78840
Phone 830 488-6020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director VANESSA ORTIZ AVALOS

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