25D1104059 CLIA NUMBER - RICHARD M PRICE MD PA

Laboratory Demographics

  • CLIA Code: 25D1104059
  • Facility Name: RICHARD M PRICE MD PA
  • Facility Address: 230 TRACE COLONY, SUITE 2
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 601 992-3996
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RICHARD M. PRICE
  • NPI Number: 1174532790
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1104059
LAB Type Physician Office
Facility Name RICHARD M PRICE MD PA
Street 230 TRACE COLONY, SUITE 2
City RIDGELAND
State MS
ZIP 39157
Phone 601 992-3996
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 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director RICHARD M. PRICE

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