03D0681803 CLIA NUMBER - ARIZONA OBGYN AFFILIATES

Laboratory Demographics

  • CLIA Code: 03D0681803
  • Facility Name: ARIZONA OBGYN AFFILIATES
  • Facility Address: 919 12TH PLACE SUITE 1
    PRESCOTT, AZ
    ZIP 86305
  • Facility Phone: 928 778-4300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEFFREY T. OSBURN
  • NPI Number: 1932283686
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 03D0681803
LAB Type Physician Office
Facility Name ARIZONA OBGYN AFFILIATES
Street 919 12TH PLACE SUITE 1
City PRESCOTT
State AZ
ZIP 86305
Phone 928 778-4300
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 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Physician Office
Lab Director JEFFREY T. OSBURN

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