25D0932108 CLIA NUMBER - SINGING RIVER HOSPITAL POINT OF CARE

Laboratory Demographics

  • CLIA Code: 25D0932108
  • Facility Name: SINGING RIVER HOSPITAL POINT OF CARE
  • Facility Address: 2809 DENNY AVENUE
    PASCAGOULA, MS
    ZIP 39581
  • Facility Phone: 228 809-5000
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. LACEY L. SULLIVAN
  • NPI Number: 1033238456
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0932108
LAB Type Hospital
Facility Name SINGING RIVER HOSPITAL POINT OF CARE
Street 2809 DENNY AVENUE
City PASCAGOULA
State MS
ZIP 39581
Phone 228 809-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Hospital
Lab Director DR. LACEY L. SULLIVAN

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