15D0856840 CLIA NUMBER - FIRST UROLOGY, PSC

Laboratory Demographics

  • CLIA Code: 15D0856840
  • Facility Name: FIRST UROLOGY, PSC
  • Facility Address: 1919 STATE ST STE 205
    NEW ALBANY, IN
    ZIP 47150
  • Facility Phone: 812 941-0443
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES L. BAILEN
  • NPI Number: 1104183375
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D0856840
LAB Type Physician Office
Facility Name FIRST UROLOGY, PSC
Street 1919 STATE ST STE 205
City NEW ALBANY
State IN
ZIP 47150
Phone 812 941-0443
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JAMES L. BAILEN

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