25D0319886 CLIA NUMBER - SOUTHERN WOMEN'S HEALTH DBA WOMEN'S HEALTH OF MS

Laboratory Demographics

  • CLIA Code: 25D0319886
  • Facility Name: SOUTHERN WOMEN'S HEALTH DBA WOMEN'S HEALTH OF MS
  • Facility Address: 4507 HOSPITAL STREET
    PASCAGOULA, MS
    ZIP 39581
  • Facility Phone: 228 769-1940
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TAYLOR M. BANAHAN
  • NPI Number: 1326016106
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 25D0319886
LAB Type Physician Office
Facility Name SOUTHERN WOMEN'S HEALTH DBA WOMEN'S HEALTH OF MS
Street 4507 HOSPITAL STREET
City PASCAGOULA
State MS
ZIP 39581
Phone 228 769-1940
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 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director DR. TAYLOR M. BANAHAN

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