01D0302838 CLIA NUMBER - SCOTTSBORO OB-GYN SPECIALISTS LLC

Laboratory Demographics

  • CLIA Code: 01D0302838
  • Facility Name: SCOTTSBORO OB-GYN SPECIALISTS LLC
  • Facility Address: 408 TAYLOR STREET
    SCOTTSBORO, AL
    ZIP 35768
  • Facility Phone: 256 259-5211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: IVONNE VARGAS MD
  • NPI Number: 1972658300
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 01D0302838
LAB Type Physician Office
Facility Name SCOTTSBORO OB-GYN SPECIALISTS LLC
Street 408 TAYLOR STREET
City SCOTTSBORO
State AL
ZIP 35768
Phone 256 259-5211
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 6/23/2024
Certificate Expiration Date 6/22/2026
Facility Type Physician Office
Lab Director IVONNE VARGAS MD

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