46D0525930 CLIA NUMBER - UROLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 46D0525930
  • Facility Name: UROLOGY ASSOCIATES
  • Facility Address: 736 S 900 E STE 108
    ST GEORGE, UT
    ZIP 84790
  • Facility Phone: 435 628-3606
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: J BRYAN ELLSWORTH, MD
  • NPI Number: 1952436826
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 46D0525930
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES
Street 736 S 900 E STE 108
City ST GEORGE
State UT
ZIP 84790
Phone 435 628-3606
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 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director J BRYAN ELLSWORTH, MD

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