11D2268338 CLIA NUMBER - PRECIOUS L BRASWELL MD OB/GYN LLC

Laboratory Demographics

  • CLIA Code: 11D2268338
  • Facility Name: PRECIOUS L BRASWELL MD OB/GYN LLC
  • Facility Address: 428 WINN CT
    DECATUR, GA
    ZIP 30030
  • Facility Phone: 404 344-9333
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PRECIOUS BRASWELL
  • NPI Number: 1942207881
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D2268338
LAB Type Physician Office
Facility Name PRECIOUS L BRASWELL MD OB/GYN LLC
Street 428 WINN CT
City DECATUR
State GA
ZIP 30030
Phone 404 344-9333
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 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Physician Office
Lab Director PRECIOUS BRASWELL

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