25D0316937 CLIA NUMBER - SANDERS CLINIC FOR WOMEN

Laboratory Demographics

CLIA Number: 25D0316937

Facility Name: SANDERS CLINIC FOR WOMEN

Facility Address:
1041 SOUTH MADISON STREET
TUPELO, MS
ZIP 38801
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Facility Phone Number: 662 844-8754

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1962423046

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	25D0316937
LAB Type	Physician Office
Facility Name	SANDERS CLINIC FOR WOMEN
Street	1041 SOUTH MADISON STREET
City	TUPELO
State	MS
ZIP	38801
Phone	662 844-8754
CertificateType	2
CertificateEffectiveDate	12/15/2022
CertificateExpirationDate	12/14/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024