15D0320411 CLIA NUMBER - FIRST UROLOGY PSC

Laboratory Demographics

  • CLIA Code: 15D0320411
  • Facility Name: FIRST UROLOGY PSC
  • Facility Address: 101 HOSPITAL BLVD
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 282-3899
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN MALONE
  • NPI Number: 1235496415
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D0320411
LAB Type Physician Office
Facility Name FIRST UROLOGY PSC
Street 101 HOSPITAL BLVD
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 282-3899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Physician Office
Lab Director RYAN MALONE

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