18D0693626 CLIA NUMBER - FIRST UROLOGY PSC

Laboratory Demographics

  • CLIA Code: 18D0693626
  • Facility Name: FIRST UROLOGY PSC
  • Facility Address: 3 AUDUBON PLAZA DRIVE SUITE L10
    LOUISVILLE, KY
    ZIP 40217
  • Facility Phone: 502 637-1418
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES L. BAILEN
  • NPI Number: 1891052007
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 18D0693626
LAB Type Physician Office
Facility Name FIRST UROLOGY PSC
Street 3 AUDUBON PLAZA DRIVE SUITE L10
City LOUISVILLE
State KY
ZIP 40217
Phone 502 637-1418
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DR. JAMES L. BAILEN

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This page was last updated on: 3/20/2025