15D1093360 CLIA NUMBER - UROLOGY ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 15D1093360
  • Facility Name: UROLOGY ASSOCIATES LLC
  • Facility Address: 1210A MEDICAL ARTS BLVD STE 206
    ANDERSON, IN
    ZIP 46011
  • Facility Phone: 765 289-7444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ONISURU T. OKOTIE
  • NPI Number: 1326093147
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D1093360
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES LLC
Street 1210A MEDICAL ARTS BLVD STE 206
City ANDERSON
State IN
ZIP 46011
Phone 765 289-7444
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 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director ONISURU T. OKOTIE

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