25D0319976 CLIA NUMBER - SOUTHERN WOMEN'S HEALTH DBA BROOKHAVEN OB GYN ASSOCIATES

Laboratory Demographics

  • CLIA Code: 25D0319976
  • Facility Name: SOUTHERN WOMEN'S HEALTH DBA BROOKHAVEN OB GYN ASSOCIATES
  • Facility Address: 1012 BIGLANE DR
    BROOKHAVEN, MS
    ZIP 39601
  • Facility Phone: 601 833-8157
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WILLIAM R. RUSHING
  • NPI Number: 1427108729
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 25D0319976
LAB Type Physician Office
Facility Name SOUTHERN WOMEN'S HEALTH DBA BROOKHAVEN OB GYN ASSOCIATES
Street 1012 BIGLANE DR
City BROOKHAVEN
State MS
ZIP 39601
Phone 601 833-8157
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 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Physician Office
Lab Director WILLIAM R. RUSHING

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