25D1040428 CLIA NUMBER - WILLIAM G BUSH, MD, PLLC

Laboratory Demographics

  • CLIA Code: 25D1040428
  • Facility Name: WILLIAM G BUSH, MD, PLLC
  • Facility Address: 1020 RIVER OAKS DRIVE SUITE 410
    JACKSON, MS
    ZIP 39232
  • Facility Phone: 601 664-0111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISSY A. ARMSTRONG
  • NPI Number: 1023115565
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 25D1040428
LAB Type Physician Office
Facility Name WILLIAM G BUSH, MD, PLLC
Street 1020 RIVER OAKS DRIVE SUITE 410
City JACKSON
State MS
ZIP 39232
Phone 601 664-0111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2025
Certificate Expiration Date 5/9/2027
Facility Type Physician Office
Lab Director CHRISSY A. ARMSTRONG

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