25D0888005 CLIA NUMBER - CENTRAL NEPHROLOGY CLINIC PLLC

Laboratory Demographics

  • CLIA Code: 25D0888005
  • Facility Name: CENTRAL NEPHROLOGY CLINIC PLLC
  • Facility Address: 102 RIVERVIEW DRIVE, STE A
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 981-1610
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: MARK KLEIN
  • NPI Number: 1942576277
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0888005
LAB Type Physician Office
Facility Name CENTRAL NEPHROLOGY CLINIC PLLC
Street 102 RIVERVIEW DRIVE, STE A
City FLOWOOD
State MS
ZIP 39232
Phone 601 981-1610
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 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director MARK KLEIN

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