Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
25D1064543
|
|
Clinical laboratory number
|
|
Lab Name
|
BAPTIST MEDICAL CLINIC WALNUT GROVE
|
|
Laboratory Name
|
|
Lab Type
|
Rural Health Clinic
|
|
Laboratory Type
|
|
Certificate Type
|
Compliance
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
601-253-0173
|
|
Laboratory telephone number
|
|
Fax
|
601-253-9464
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
110 PARK STREET
|
|
Primary location adress line
|
|
City
|
WALNUT GROVE
|
|
Primary location city name
|
|
State
|
MS
|
|
Primary location state name
|
|
Zip
|
39189
|
|
Primary location postal code
|