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Reproducibility of cervical biopsy diagnoses is reduced and may vary considering in which the diagnostic test is performed and by whom. Our objective would be to determine multilevel variation in diagnoses across colposcopists, pathologists, and laboratory services. We cross-sectionally examined variation in cervical biopsy diagnoses inside the 5 sites regarding the Population-Based Research Optimizing Screening through Personalized Regimens (PROSPR I) consortium within amounts