25D2003010 CLIA NUMBER - REGIONAL DIGESTIVE SPECIALISTS PC

Laboratory Demographics

  • CLIA Code: 25D2003010
  • Facility Name: REGIONAL DIGESTIVE SPECIALISTS PC
  • Facility Address: 1721 MEDICAL PARK DRIVE SUITE 101
    BILOXI, MS
    ZIP 39532
  • Facility Phone: 228 392-1686
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMANDA CLARK
  • NPI Number: 1497086607
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2003010
LAB Type Physician Office
Facility Name REGIONAL DIGESTIVE SPECIALISTS PC
Street 1721 MEDICAL PARK DRIVE SUITE 101
City BILOXI
State MS
ZIP 39532
Phone 228 392-1686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director AMANDA CLARK

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