25D0967350 CLIA NUMBER - HATTIESBURG GI ASSOCIATES

Laboratory Demographics

  • CLIA Code: 25D0967350
  • Facility Name: HATTIESBURG GI ASSOCIATES
  • Facility Address: 100 METHODIST BLVD
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 268-5185
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CLAY FOLEY
  • NPI Number: 1730293234
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0967350
LAB Type Ambulatory Surgery Center
Facility Name HATTIESBURG GI ASSOCIATES
Street 100 METHODIST BLVD
City HATTIESBURG
State MS
ZIP 39402
Phone 601 268-5185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ambulatory Surgery Center
Lab Director CLAY FOLEY

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