25D1019509 CLIA NUMBER - GULFPORT BEHAVIORAL HEALTH SYSTEM

Laboratory Demographics

  • CLIA Code: 25D1019509
  • Facility Name: GULFPORT BEHAVIORAL HEALTH SYSTEM
  • Facility Address: 11150 U S HWY 49 NORTH
    GULFPORT, MS
    ZIP 39503
  • Facility Phone: 228 831-1700
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SUSAN BAUDOIN
  • NPI Number: 1750891792
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 25D1019509
LAB Type Hospital
Facility Name GULFPORT BEHAVIORAL HEALTH SYSTEM
Street 11150 U S HWY 49 NORTH
City GULFPORT
State MS
ZIP 39503
Phone 228 831-1700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Hospital
Lab Director SUSAN BAUDOIN

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