25D0939291 CLIA NUMBER - JOSEPH F ROBERTS MD PA

Laboratory Demographics

  • CLIA Code: 25D0939291
  • Facility Name: JOSEPH F ROBERTS MD PA
  • Facility Address: 1117 SUNSET DRIVE SUITE 101
    GRENADA, MS
    ZIP 38901
  • Facility Phone: 662 226-1168
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH F. ROBERTS
  • NPI Number: 1023129608
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0939291
LAB Type Physician Office
Facility Name JOSEPH F ROBERTS MD PA
Street 1117 SUNSET DRIVE SUITE 101
City GRENADA
State MS
ZIP 38901
Phone 662 226-1168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Physician Office
Lab Director JOSEPH F. ROBERTS

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