25D1057384 CLIA NUMBER - HEART CENTER

Laboratory Demographics

  • CLIA Code: 25D1057384
  • Facility Name: HEART CENTER
  • Facility Address: 4300 HOSPITAL STREET SUITE 103
    PASCAGOULA, MS
    ZIP 39581
  • Facility Phone: 228 762-7875
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASWINDER S. KANDOLA
  • NPI Number: 1447357710
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1057384
LAB Type Physician Office
Facility Name HEART CENTER
Street 4300 HOSPITAL STREET SUITE 103
City PASCAGOULA
State MS
ZIP 39581
Phone 228 762-7875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2024
Certificate Expiration Date 8/9/2026
Facility Type Physician Office
Lab Director JASWINDER S. KANDOLA

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