Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
25D2163398
|
|
Clinical laboratory number
|
|
Lab Name
|
WEIGHT MANAGEMENT
|
|
Laboratory Name
|
|
Lab Type
|
Physician Office
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
601-296-2833
|
|
Laboratory telephone number
|
|
Fax
|
N/S (NOT SPECIFIED)
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
6414 U S HIGHWAY 98 STE 120
|
|
Primary location adress line
|
|
City
|
HATTIESBURG
|
|
Primary location city name
|
|
State
|
MS
|
|
Primary location state name
|
|
Zip
|
39402-7838
|
|
Primary location postal code
|