25D0987273 CLIA NUMBER - VA GULF COAST VETERANS HCS

Laboratory Demographics

CLIA Number: 25D0987273

Facility Name: VA GULF COAST VETERANS HCS

Facility Address:
400 VETERANS AVE
BILOXI, MS
ZIP 39531
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Facility Phone Number: 228 523-5545

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1700442779

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 25D0987273
LAB Type Hospital
Facility Name VA GULF COAST VETERANS HCS
Street 400 VETERANS AVE
City BILOXI
State MS
ZIP 39531
Phone 228 523-5545
CertificateType 1
CertificateEffectiveDate 6/1/2001
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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This page was last updated on: 4/23/2024