25D0675967 CLIA NUMBER - MRH MEDICAL GROUP CORINTH ALCORN DR

Laboratory Demographics

CLIA Number: 25D0675967

Facility Name: MRH MEDICAL GROUP CORINTH ALCORN DR

Facility Address:
508 ALCORN DRIVE
CORINTH, MS
ZIP 38834
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Facility Phone Number: 662 396-4733

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1063076511

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D0675967
LAB Type	Practitioner Other
Facility Name	MRH MEDICAL GROUP CORINTH ALCORN DR
Street	508 ALCORN DRIVE
City	CORINTH
State	MS
ZIP	38834
Phone	662 396-4733
CertificateType	4
CertificateEffectiveDate	10/18/2022
CertificateExpirationDate	10/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024