36D0336272 CLIA NUMBER - SOUTHWEST UROLOGY, LLC

Laboratory Demographics

  • CLIA Code: 36D0336272
  • Facility Name: SOUTHWEST UROLOGY, LLC
  • Facility Address: 6900 PEARL ROAD, SUITE 200
    MIDDLEBURG HEIGHTS, OH
    ZIP 44130
  • Facility Phone: (440) 845-0900
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. NICOLE A. MASSOLL
  • NPI Number: 1962428136
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D0336272
LAB Type Physician Office
Facility Name SOUTHWEST UROLOGY, LLC
Street 6900 PEARL ROAD, SUITE 200
City MIDDLEBURG HEIGHTS
State OH
ZIP 44130
Phone 4408450900
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director DR. NICOLE A. MASSOLL

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