03D2310332 CLIA NUMBER - GENESIS OBYGYN PUEBLO

Laboratory Demographics

  • CLIA Code: 03D2310332
  • Facility Name: GENESIS OBYGYN PUEBLO
  • Facility Address: 655 E RIVER STE 201
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 795-0549
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANNA NELSON-MOSEKE
  • NPI Number: 1992994214
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2310332
LAB Type Physician Office
Facility Name GENESIS OBYGYN PUEBLO
Street 655 E RIVER STE 201
City TUCSON
State AZ
ZIP 85704
Phone 520 795-0549
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 8/30/2024
Certificate Expiration Date 8/29/2026
Facility Type Physician Office
Lab Director ANNA NELSON-MOSEKE

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