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25D0317431 CLIA NUMBER - BAPTIST MEDICAL CENTER LEAKE

Laboratory Demographics

CLIA Number: 25D0317431

Facility Name: BAPTIST MEDICAL CENTER LEAKE

Facility Address:
1100 HWY 16 EAST
CARTHAGE, MS
ZIP 39051
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Facility Phone Number: 601 267-1230

Facility Type: Hospital

Certificate Type: Certificate of Compliance
NPI Number: 1891138780

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name Field Value
CLIA Number 25D0317431
LAB Type Hospital
Facility Name BAPTIST MEDICAL CENTER LEAKE
Street 1100 HWY 16 EAST
City CARTHAGE
State MS
ZIP 39051
Phone 601 267-1230
CertificateType 2
CertificateEffectiveDate 2/3/2023
CertificateExpirationDate 2/2/2025
FacilityType Compliance

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