25D1040418 CLIA NUMBER - WIGGINS PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 25D1040418
  • Facility Name: WIGGINS PRIMARY CARE
  • Facility Address: 975 HALL STREET
    WIGGINS, MS
    ZIP 39577
  • Facility Phone: 601 528-9119
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DEEPINDER BURN
  • NPI Number: 1740293257
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1040418
LAB Type Rural Health Clinic
Facility Name WIGGINS PRIMARY CARE
Street 975 HALL STREET
City WIGGINS
State MS
ZIP 39577
Phone 601 528-9119
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Rural Health Clinic
Lab Director DEEPINDER BURN

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