52D0688646 CLIA NUMBER - UROLOGY ASSOCIATES LTD SC

Laboratory Demographics

  • CLIA Code: 52D0688646
  • Facility Name: UROLOGY ASSOCIATES LTD SC
  • Facility Address: 1185 CORPORATE CENTER DR STE 100
    OCONOMOWOC, WI
    ZIP 53066
  • Facility Phone: 262 446-3593
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. BRIAN P. BUTLER
  • NPI Number: 1316035637
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 52D0688646
LAB Type Physician Office
Facility Name UROLOGY ASSOCIATES LTD SC
Street 1185 CORPORATE CENTER DR STE 100
City OCONOMOWOC
State WI
ZIP 53066
Phone 262 446-3593
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director DR. BRIAN P. BUTLER

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