25D0319602 CLIA NUMBER - BILOXI OB-GYN CLINIC

Laboratory Demographics

  • CLIA Code: 25D0319602
  • Facility Name: BILOXI OB-GYN CLINIC
  • Facility Address: 147 REYNOIR ST STE 105
    BILOXI, MS
    ZIP 39530
  • Facility Phone: 228 436-1263
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BOBBY W. TULLOS
  • NPI Number: 1255454708
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 25D0319602
LAB Type Physician Office
Facility Name BILOXI OB-GYN CLINIC
Street 147 REYNOIR ST STE 105
City BILOXI
State MS
ZIP 39530
Phone 228 436-1263
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director DR. BOBBY W. TULLOS

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