15D0996016 CLIA NUMBER - ADVANCED UROLOGY LLC

Laboratory Demographics

  • CLIA Code: 15D0996016
  • Facility Name: ADVANCED UROLOGY LLC
  • Facility Address: 8091 TOWNSHIP LINE RD STE 109
    INDIANAPOLIS, IN
    ZIP 46260
  • Facility Phone: 317 802-9900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAMES A. DUGAN
  • NPI Number: 1124156336
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 15D0996016
LAB Type Physician Office
Facility Name ADVANCED UROLOGY LLC
Street 8091 TOWNSHIP LINE RD STE 109
City INDIANAPOLIS
State IN
ZIP 46260
Phone 317 802-9900
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 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director JAMES A. DUGAN

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