25D1033994 CLIA NUMBER - WEST CLINIC,THE

Laboratory Demographics

  • CLIA Code: 25D1033994
  • Facility Name: WEST CLINIC,THE
  • Facility Address: 2001 STATE DRIVE
    CORINTH, MS
    ZIP 38834
  • Facility Phone: 901 683-0055
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. LISA HIATT TODD
  • NPI Number: 1427509595
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1033994
LAB Type Physician Office
Facility Name WEST CLINIC,THE
Street 2001 STATE DRIVE
City CORINTH
State MS
ZIP 38834
Phone 901 683-0055
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/6/2025
Certificate Expiration Date 10/5/2027
Facility Type Physician Office
Lab Director DR. LISA HIATT TODD

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