25D0954468 CLIA NUMBER - BELLEVUE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 25D0954468
  • Facility Name: BELLEVUE FAMILY MEDICINE
  • Facility Address: 7148 US HWY 98 STE 101
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 261-1500
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: WILLIAM A. MARTIN
  • NPI Number: 1114448800
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D0954468
LAB Type Physician Office
Facility Name BELLEVUE FAMILY MEDICINE
Street 7148 US HWY 98 STE 101
City HATTIESBURG
State MS
ZIP 39402
Phone 601 261-1500
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Physician Office
Lab Director WILLIAM A. MARTIN

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