25D1077587 CLIA NUMBER - COLUMBUS FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 25D1077587
  • Facility Name: COLUMBUS FAMILY PRACTICE
  • Facility Address: 2325B MARTIN LUTHER KING JR DR
    COLUMBUS, MS
    ZIP 39705
  • Facility Phone: 662 327-0444
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEFFREY T. BRITT
  • NPI Number: 1578584686
  • Taxonomy: 156FX1100X - Technician/Technologist

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CLIA Record

Field Name Field Value
CLIA Number 25D1077587
LAB Type Practitioner Other
Facility Name COLUMBUS FAMILY PRACTICE
Street 2325B MARTIN LUTHER KING JR DR
City COLUMBUS
State MS
ZIP 39705
Phone 662 327-0444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Practitioner Other
Lab Director JEFFREY T. BRITT

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