25D1026868 CLIA NUMBER - SOUTHERN WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 25D1026868
  • Facility Name: SOUTHERN WOMEN'S HEALTH
  • Facility Address: 100 MAXWELL DR
    VICKSBURG, MS
    ZIP 39180
  • Facility Phone: 601 883-2900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSEPH D. AUSTIN
  • NPI Number: 1114008901
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 25D1026868
LAB Type Physician Office
Facility Name SOUTHERN WOMEN'S HEALTH
Street 100 MAXWELL DR
City VICKSBURG
State MS
ZIP 39180
Phone 601 883-2900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/1/2025
Certificate Expiration Date 12/31/2026
Facility Type Physician Office
Lab Director JOSEPH D. AUSTIN

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