18D2232603 CLIA NUMBER - FIRST UROLOGY, PSC

Laboratory Demographics

  • CLIA Code: 18D2232603
  • Facility Name: FIRST UROLOGY, PSC
  • Facility Address: 5120 DIXIE HWY STE 105
    LOUISVILLE, KY
    ZIP 40216
  • Facility Phone: 812 206-8196
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MATTHEW PETERSON
  • NPI Number: 1275208977
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 18D2232603
LAB Type Physician Office
Facility Name FIRST UROLOGY, PSC
Street 5120 DIXIE HWY STE 105
City LOUISVILLE
State KY
ZIP 40216
Phone 812 206-8196
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 8/16/2025
Certificate Expiration Date 8/15/2027
Facility Type Physician Office
Lab Director DR. MATTHEW PETERSON

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