49D1041276 CLIA NUMBER - JEFFERSON OBSTETRICS AND GYNECOLOGY, LTD

Laboratory Demographics

  • CLIA Code: 49D1041276
  • Facility Name: JEFFERSON OBSTETRICS AND GYNECOLOGY, LTD
  • Facility Address: 600 PETER JEFFERSON PARKWAY - SUITE 290
    CHARLOTTESVILLE, VA
    ZIP 22911
  • Facility Phone: (434) 977-4488
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELLY OWENS

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CLIA Record

Field Name Field Value
CLIA Number 49D1041276
LAB Type Physician Office
Facility Name JEFFERSON OBSTETRICS AND GYNECOLOGY, LTD
Street 600 PETER JEFFERSON PARKWAY - SUITE 290
City CHARLOTTESVILLE
State VA
ZIP 22911
Phone 4349774488
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 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Physician Office
Lab Director KELLY OWENS

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This page was last updated on: 5/18/2026