25D0906520 CLIA NUMBER - DELORA A DENNEY MD

Laboratory Demographics

  • CLIA Code: 25D0906520
  • Facility Name: DELORA A DENNEY MD
  • Facility Address: 12 MEDICAL PLAZA BLVD STE B
    PICAYUNE, MS
    ZIP 39466
  • Facility Phone: 601 798-5281
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. DELORA DENNEY
  • NPI Number: 1881696862
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0906520
LAB Type Physician Office
Facility Name DELORA A DENNEY MD
Street 12 MEDICAL PLAZA BLVD STE B
City PICAYUNE
State MS
ZIP 39466
Phone 601 798-5281
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 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Physician Office
Lab Director DR. DELORA DENNEY

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