25D0316541 CLIA NUMBER - PHILIP R LORIA JR MD

Laboratory Demographics

  • CLIA Code: 25D0316541
  • Facility Name: PHILIP R LORIA JR MD
  • Facility Address: 2204 JEFFERSON DAVIS
    OXFORD, MS
    ZIP 38655
  • Facility Phone: 601 236-6850
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PHILIP R. LORIA JR
  • NPI Number: 1285014167
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 25D0316541
LAB Type Physician Office
Facility Name PHILIP R LORIA JR MD
Street 2204 JEFFERSON DAVIS
City OXFORD
State MS
ZIP 38655
Phone 601 236-6850
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/9/2025
Certificate Expiration Date 3/8/2027
Facility Type Physician Office
Lab Director PHILIP R. LORIA JR

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