25D0950384 CLIA NUMBER - MISS-LOU OB-GYN CENTER, INC

Laboratory Demographics

  • CLIA Code: 25D0950384
  • Facility Name: MISS-LOU OB-GYN CENTER, INC
  • Facility Address: 55 SGT PRENTISS DRIVE SUITE 100
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 304-0020
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KOFI O. KUMI
  • NPI Number: 1316383433
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0950384
LAB Type Physician Office
Facility Name MISS-LOU OB-GYN CENTER, INC
Street 55 SGT PRENTISS DRIVE SUITE 100
City NATCHEZ
State MS
ZIP 39120
Phone 601 304-0020
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 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director KOFI O. KUMI

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