25D0318855 CLIA NUMBER - WAYNESBORO FAMILY MEDICINE & OBSTETRICS A SERVICE OF WAYNE GENERAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 25D0318855
  • Facility Name: WAYNESBORO FAMILY MEDICINE & OBSTETRICS A SERVICE OF WAYNE GENERAL HOSPITAL
  • Facility Address: 951 MATTHEW DRIVE SUITE A
    WAYNESBORO, MS
    ZIP 39367
  • Facility Phone: 601 735-2401
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KELVIN SHERMAN MD
  • NPI Number: 1861702383
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0318855
LAB Type Physician Office
Facility Name WAYNESBORO FAMILY MEDICINE & OBSTETRICS A SERVICE OF WAYNE GENERAL HOSPITAL
Street 951 MATTHEW DRIVE SUITE A
City WAYNESBORO
State MS
ZIP 39367
Phone 601 735-2401
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 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Physician Office
Lab Director KELVIN SHERMAN MD

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