CLIA lab

CLIA 36D1079662: Southwest Urology Inc

Brookpark, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D1079662 belongs to Southwest Urology Inc in Brookpark, OH.

Certificate of Waiver, effective December 14, 2024, expires December 13, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 14, 2024
Certificate expiration
December 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
February 5, 2008
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
36D1079662
Lab name
Southwest Urology Inc
Address
5260 Smith Road, Brookpark, OH 44142
Phone
(480) 845-0987
Fax
(440) 882-0048

Annual test volume the lab reported

Waived tests
52

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Southwest Urology Inc in Brookpark?

36D1079662, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Southwest Urology Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 36D1079662 expire?

The CMS file lists December 13, 2026 as the certificate expiration date; the certificate took effect December 14, 2024.

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