25D1051830 CLIA NUMBER - IMAGING CENTER OF COLUMBUS

Laboratory Demographics

  • CLIA Code: 25D1051830
  • Facility Name: IMAGING CENTER OF COLUMBUS
  • Facility Address: 2526 5TH STREET NORTH
    COLUMBUS, MS
    ZIP 39705
  • Facility Phone: 662 328-8402
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MICHAEL E. SORRELLS
  • NPI Number: 1306918982
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D1051830
LAB Type Other
Facility Name IMAGING CENTER OF COLUMBUS
Street 2526 5TH STREET NORTH
City COLUMBUS
State MS
ZIP 39705
Phone 662 328-8402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Other
Lab Director MICHAEL E. SORRELLS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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