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

Laboratory Demographics

CLIA Number: 36D1080115

Facility Name: SOUTHWEST UROLOGY, LLC DBA UROLOGY PARTNERS

Facility Address:
5260 SMITH ROAD
BROOKPARK, OH
ZIP 44142
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Facility Phone Number: 216 265-4580

Facility Type: Other - UROLOGY SPECIALIST OFFICE

Certificate Type: Microscopy

NPI Number: 1528097193

Taxonomy: 208800000X - Urology
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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
CertificateType	3
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024