25D0891779 CLIA NUMBER - PAS-POINT FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 25D0891779
  • Facility Name: PAS-POINT FAMILY CLINIC
  • Facility Address: 3736 MAIN STREET
    MOSS POINT, MS
    ZIP 39563
  • Facility Phone: 228 474-2212
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DUNK A. ELLIS
  • NPI Number: 1639621675
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0891779
LAB Type Physician Office
Facility Name PAS-POINT FAMILY CLINIC
Street 3736 MAIN STREET
City MOSS POINT
State MS
ZIP 39563
Phone 228 474-2212
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 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director DR. DUNK A. ELLIS

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This page was last updated on: 3/20/2025