25D0906423 CLIA NUMBER - TISHOMINGO HEALTH SERVICES INC DBA BELMONT FAMILY CLINIC

Laboratory Demographics

CLIA Number: 25D0906423

Facility Name: TISHOMINGO HEALTH SERVICES INC DBA BELMONT FAMILY CLINIC

Facility Address:
26 3RD ST
BELMONT, MS
ZIP 38827
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Facility Phone Number: 662 454-4520

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1528424728

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 25D0906423
LAB Type Physician Office
Facility Name TISHOMINGO HEALTH SERVICES INC DBA BELMONT FAMILY CLINIC
Street 26 3RD ST
City BELMONT
State MS
ZIP 38827
Phone 662 454-4520
CertificateType 2
CertificateEffectiveDate 9/10/2023
CertificateExpirationDate 9/9/2025
FacilityType Compliance

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