25D0672454 CLIA NUMBER - SOUTH CENTRAL OBSTETRICS & GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 25D0672454
  • Facility Name: SOUTH CENTRAL OBSTETRICS & GYNECOLOGY
  • Facility Address: 1002 JEFFERSON STREET, SUITE 250
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 649-5421
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES K. WINSTEAD JR
  • NPI Number: 1942240510
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 25D0672454
LAB Type Physician Office
Facility Name SOUTH CENTRAL OBSTETRICS & GYNECOLOGY
Street 1002 JEFFERSON STREET, SUITE 250
City LAUREL
State MS
ZIP 39440
Phone 601 649-5421
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 DR. JAMES K. WINSTEAD JR

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