25D0317158 CLIA NUMBER - FLAVIA H WEST MD

Laboratory Demographics

  • CLIA Code: 25D0317158
  • Facility Name: FLAVIA H WEST MD
  • Facility Address: 183 S MAIN ST
    PONTOTOC, MS
    ZIP 38863
  • Facility Phone: 662 489-5038
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FLAVIA H. WEST-HUDDLESTON MD
  • NPI Number: 1538276191
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0317158
LAB Type Physician Office
Facility Name FLAVIA H WEST MD
Street 183 S MAIN ST
City PONTOTOC
State MS
ZIP 38863
Phone 662 489-5038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director FLAVIA H. WEST-HUDDLESTON MD

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