25D1051743 CLIA NUMBER - BAPTIST MEDICAL GROUP - DOGWOOD PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 25D1051743
  • Facility Name: BAPTIST MEDICAL GROUP - DOGWOOD PRIMARY CARE
  • Facility Address: 151 EAST METRO SUITE 103
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 992-3288
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ROBERT V. BARHAM
  • NPI Number: 1669695714
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1051743
LAB Type Physician Office
Facility Name BAPTIST MEDICAL GROUP - DOGWOOD PRIMARY CARE
Street 151 EAST METRO SUITE 103
City FLOWOOD
State MS
ZIP 39232
Phone 601 992-3288
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director ROBERT V. BARHAM

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This page was last updated on: 6/4/2025