25D1055044 CLIA NUMBER - MERIT HEALTH ENT AND ALLERGY

Laboratory Demographics

  • CLIA Code: 25D1055044
  • Facility Name: MERIT HEALTH ENT AND ALLERGY
  • Facility Address: 107 MILLSAPS DR
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 268-5131
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. CURTIS CHILDRESS
  • NPI Number: 1881056190
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 25D1055044
LAB Type Ambulatory Surgery Center
Facility Name MERIT HEALTH ENT AND ALLERGY
Street 107 MILLSAPS DR
City HATTIESBURG
State MS
ZIP 39402
Phone 601 268-5131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. CURTIS CHILDRESS

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