36D1080115 CLIA NUMBER - SOUTHWEST UROLOGY, LLC DBA UROLOGY PARTNERS

Laboratory Demographics

  • CLIA Code: 36D1080115
  • Facility Name: SOUTHWEST UROLOGY, LLC DBA UROLOGY PARTNERS
  • Facility Address: 5260 SMITH ROAD
    BROOKPARK, OH
    ZIP 44142
  • Facility Phone: 216 265-4580
  • Facility Type: Other - UROLOGY SPECIALIST OFFICE
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES A. KONTAK
  • NPI Number: 1528097193
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D1080115
LAB Type Other - UROLOGY SPECIALIST OFFICE
Facility Name SOUTHWEST UROLOGY, LLC DBA UROLOGY PARTNERS
Street 5260 SMITH ROAD
City BROOKPARK
State OH
ZIP 44142
Phone 216 265-4580
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 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Other - UROLOGY SPECIALIST OFFICE
Lab Director DR. JAMES A. KONTAK

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