25D0705684 CLIA NUMBER - BAPTIST ANDERSON UROLOGY CENTER

Laboratory Demographics

  • CLIA Code: 25D0705684
  • Facility Name: BAPTIST ANDERSON UROLOGY CENTER
  • Facility Address: 1600 22ND AVE, 3RD FLOOR STE A
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 693-1055
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES H. WALLACE
  • NPI Number: 1831497940
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 25D0705684
LAB Type Physician Office
Facility Name BAPTIST ANDERSON UROLOGY CENTER
Street 1600 22ND AVE, 3RD FLOOR STE A
City MERIDIAN
State MS
ZIP 39301
Phone 601 693-1055
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2024
Certificate Expiration Date 3/31/2026
Facility Type Physician Office
Lab Director JAMES H. WALLACE

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