18D0857088 CLIA NUMBER - FIRST UROLOGY PSC

Laboratory Demographics

  • CLIA Code: 18D0857088
  • Facility Name: FIRST UROLOGY PSC
  • Facility Address: 3920 S DUPONT SQUARE
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 721-0116
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MORRIS B. JACKSON
  • NPI Number: 1104183953
  • Taxonomy: 208800000X - Urology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 18D0857088
LAB Type Physician Office
Facility Name FIRST UROLOGY PSC
Street 3920 S DUPONT SQUARE
City LOUISVILLE
State KY
ZIP 40207
Phone 502 721-0116
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 DR. MORRIS B. JACKSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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