45D2119182 CLIA NUMBER - CEDAR PARK OB/GYN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 45D2119182
  • Facility Name: CEDAR PARK OB/GYN ASSOCIATES
  • Facility Address: 1401 MEDICAL PKWY BUILDING C, STE 125
    CEDAR PARK, TX
    ZIP 78613
  • Facility Phone: 512 528-7385
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JEAN PAICURICH COLE
  • NPI Number: 1528061157
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2119182
LAB Type Physician Office
Facility Name CEDAR PARK OB/GYN ASSOCIATES
Street 1401 MEDICAL PKWY BUILDING C, STE 125
City CEDAR PARK
State TX
ZIP 78613
Phone 512 528-7385
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 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Physician Office
Lab Director JEAN PAICURICH COLE

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