25D1081022 CLIA NUMBER - PREMIER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 25D1081022
  • Facility Name: PREMIER MEDICAL CLINIC
  • Facility Address: 1504 HOSPITAL STREET
    GREENVILLE, MS
    ZIP 38703
  • Facility Phone: 662 378-9929
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PARVEZ KARIM
  • NPI Number: 1508051103
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1081022
LAB Type Physician Office
Facility Name PREMIER MEDICAL CLINIC
Street 1504 HOSPITAL STREET
City GREENVILLE
State MS
ZIP 38703
Phone 662 378-9929
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Physician Office
Lab Director PARVEZ KARIM

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