25D0671456 CLIA NUMBER - CHARLES L NAUSE

Laboratory Demographics

  • CLIA Code: 25D0671456
  • Facility Name: CHARLES L NAUSE
  • Facility Address: 110 E MARKET ST P O BOX 1380
    GREENWOOD, MS
    ZIP 38930
  • Facility Phone: 662 453-5460
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHARLES L. NAUSE
  • NPI Number: 1154316008
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0671456
LAB Type Physician Office
Facility Name CHARLES L NAUSE
Street 110 E MARKET ST P O BOX 1380
City GREENWOOD
State MS
ZIP 38930
Phone 662 453-5460
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director CHARLES L. NAUSE

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