36D1086255 CLIA NUMBER - PREMIER UROLOGY CORPORATION

Laboratory Demographics

  • CLIA Code: 36D1086255
  • Facility Name: PREMIER UROLOGY CORPORATION
  • Facility Address: 430 ALTAIR PKWY, SUITE 200
    WESTERVILLE, OH
    ZIP 43082
  • Facility Phone: 614 818-0215
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID BROWN
  • NPI Number: 1598925638
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 36D1086255
LAB Type Physician Office
Facility Name PREMIER UROLOGY CORPORATION
Street 430 ALTAIR PKWY, SUITE 200
City WESTERVILLE
State OH
ZIP 43082
Phone 614 818-0215
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 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Physician Office
Lab Director DAVID BROWN

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