15D0355467 CLIA NUMBER - UROSURGERY ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 15D0355467
  • Facility Name: UROSURGERY ASSOCIATES, LLC
  • Facility Address: 400 W 84TH DRIVE
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 769-8641
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAMESH UNNI
  • NPI Number: 1477648566
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D0355467
LAB Type Physician Office
Facility Name UROSURGERY ASSOCIATES, LLC
Street 400 W 84TH DRIVE
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 769-8641
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 5/16/2024
Certificate Expiration Date 5/15/2026
Facility Type Physician Office
Lab Director RAMESH UNNI

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This page was last updated on: 6/4/2025