25D0971010 CLIA NUMBER - DELTA MEDICAL GROUP, MID-SOUTH CLINIC

Laboratory Demographics

  • CLIA Code: 25D0971010
  • Facility Name: DELTA MEDICAL GROUP, MID-SOUTH CLINIC
  • Facility Address: 1693 SOUTH COLORADO STREET
    GREENVILLE, MS
    ZIP 38703
  • Facility Phone: (662) 332-8700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ERIC REIMUND
  • NPI Number: 1790701134
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0971010
LAB Type Physician Office
Facility Name DELTA MEDICAL GROUP, MID-SOUTH CLINIC
Street 1693 SOUTH COLORADO STREET
City GREENVILLE
State MS
ZIP 38703
Phone 6623328700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2025
Certificate Expiration Date 5/19/2027
Facility Type Physician Office
Lab Director DR. ERIC REIMUND

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This page was last updated on: 6/29/2026