15D0858488 CLIA NUMBER - UROLOGY CENTER INC

Laboratory Demographics

  • CLIA Code: 15D0858488
  • Facility Name: UROLOGY CENTER INC
  • Facility Address: 398 W 80TH PL
    MERRILLVILLE, IN
    ZIP 46410
  • Facility Phone: 219 791-0615
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AYOOLA A. GOMIH
  • NPI Number: 1326239526
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0858488
LAB Type Physician Office
Facility Name UROLOGY CENTER INC
Street 398 W 80TH PL
City MERRILLVILLE
State IN
ZIP 46410
Phone 219 791-0615
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AYOOLA A. GOMIH

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