18D0705826 CLIA NUMBER - FIRST UROLOGY, PSC

Laboratory Demographics

  • CLIA Code: 18D0705826
  • Facility Name: FIRST UROLOGY, PSC
  • Facility Address: 309 11TH STREET
    CARROLLTON, KY
    ZIP 41008
  • Facility Phone: (502) 633-2661
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. M B. JACKSON
  • NPI Number: 1487911673
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 18D0705826
LAB Type Community Clinic
Facility Name FIRST UROLOGY, PSC
Street 309 11TH STREET
City CARROLLTON
State KY
ZIP 41008
Phone 5026332661
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 Community Clinic
Lab Director DR. M B. JACKSON

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This page was last updated on: 5/18/2026