25D0317885 CLIA NUMBER - YAZOO FAMILY MEDICINE PA DBA YAZOO CITY MED CLINIC

Laboratory Demographics

CLIA Number: 25D0317885

Facility Name: YAZOO FAMILY MEDICINE PA DBA YAZOO CITY MED CLINIC

Facility Address:
805 EAST 15TH STREET
YAZOO CITY, MS
ZIP 39194
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Facility Phone Number: 662 746-6083

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1770745861

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 25D0317885
LAB Type Physician Office
Facility Name YAZOO FAMILY MEDICINE PA DBA YAZOO CITY MED CLINIC
Street 805 EAST 15TH STREET
City YAZOO CITY
State MS
ZIP 39194
Phone 662 746-6083
CertificateType 2
CertificateEffectiveDate 3/22/2024
CertificateExpirationDate 3/21/2026
FacilityType Compliance

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