01D0969206 CLIA NUMBER - SANSARICQ OB GYN PC

Laboratory Demographics

  • CLIA Code: 01D0969206
  • Facility Name: SANSARICQ OB GYN PC
  • Facility Address: 524 STANTON ROAD
    MOBILE, AL
    ZIP 36617
  • Facility Phone: 251 479-0058
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JEAN A. SANSARICQ
  • NPI Number: 1366526865
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 01D0969206
LAB Type Physician Office
Facility Name SANSARICQ OB GYN PC
Street 524 STANTON ROAD
City MOBILE
State AL
ZIP 36617
Phone 251 479-0058
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 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. JEAN A. SANSARICQ

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