25D0316428 CLIA NUMBER - WADSWORTH CLINIC, PA

Laboratory Demographics

  • CLIA Code: 25D0316428
  • Facility Name: WADSWORTH CLINIC, PA
  • Facility Address: 2240 HWY 51 SOUTH
    HERNANDO, MS
    ZIP 38632
  • Facility Phone: 662 429-5231
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM M. WADSWORTH
  • NPI Number: 1689861478
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0316428
LAB Type Physician Office
Facility Name WADSWORTH CLINIC, PA
Street 2240 HWY 51 SOUTH
City HERNANDO
State MS
ZIP 38632
Phone 662 429-5231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director WILLIAM M. WADSWORTH

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This page was last updated on: 9/29/2025