Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
25D1014379
|
|
Clinical laboratory number
|
|
Lab Name
|
IMAGING CENTER,THE
|
|
Laboratory Name
|
|
Lab Type
|
Other - FREE STANDING DIAG RAD CL
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
662-841-7880
|
|
Laboratory telephone number
|
|
Fax
|
662-821-1888
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
320 SOUTH GLOSTER STREET
|
|
Primary location adress line
|
|
City
|
TUPELO
|
|
Primary location city name
|
|
State
|
MS
|
|
Primary location state name
|
|
Zip
|
38803
|
|
Primary location postal code
|