25D2004818 CLIA NUMBER - BAPTIST HEART

Laboratory Demographics

  • CLIA Code: 25D2004818
  • Facility Name: BAPTIST HEART
  • Facility Address: 501 MARSHALL STREET SUITE 104
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 969-6404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES L. WARNOCK JR
  • NPI Number: 1639586076
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2004818
LAB Type Physician Office
Facility Name BAPTIST HEART
Street 501 MARSHALL STREET SUITE 104
City JACKSON
State MS
ZIP 39202
Phone 601 969-6404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director DR. JAMES L. WARNOCK JR

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