18D1102158 CLIA NUMBER - FIRST UROLOGY, PSC

Laboratory Demographics

  • CLIA Code: 18D1102158
  • Facility Name: FIRST UROLOGY, PSC
  • Facility Address: 2400 EASTPOINT PARKWAY SUITE 560
    LOUISVILLE, KY
    ZIP 40223
  • Facility Phone: 502 584-0651
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. RYAN MALONE
  • NPI Number: 1013274224
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 18D1102158
LAB Type Physician Office
Facility Name FIRST UROLOGY, PSC
Street 2400 EASTPOINT PARKWAY SUITE 560
City LOUISVILLE
State KY
ZIP 40223
Phone 502 584-0651
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 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director DR. RYAN MALONE

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