25D1100709 CLIA NUMBER - MURPHY S MARTIN MD PLLC

Laboratory Demographics

  • CLIA Code: 25D1100709
  • Facility Name: MURPHY S MARTIN MD PLLC
  • Facility Address: 1600 N STATE ST STE 200
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 326-3900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MURPHY S. MARTIN
  • NPI Number: 1295963742
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1100709
LAB Type Physician Office
Facility Name MURPHY S MARTIN MD PLLC
Street 1600 N STATE ST STE 200
City JACKSON
State MS
ZIP 39202
Phone 601 326-3900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/11/2023
Certificate Expiration Date 6/10/2025
Facility Type Physician Office
Lab Director DR. MURPHY S. MARTIN

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This page was last updated on: 3/20/2025