25D2024272 CLIA NUMBER - BAPTIST MEMORIAL MEDICAL GROUP, INC - EMC

Laboratory Demographics

  • CLIA Code: 25D2024272
  • Facility Name: BAPTIST MEMORIAL MEDICAL GROUP, INC - EMC
  • Facility Address: 2633 TRACELAND DR
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 205-4652
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANNE D. HAIRE
  • NPI Number: 1871887661
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2024272
LAB Type Physician Office
Facility Name BAPTIST MEMORIAL MEDICAL GROUP, INC - EMC
Street 2633 TRACELAND DR
City TUPELO
State MS
ZIP 38801
Phone 662 205-4652
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/28/2023
Certificate Expiration Date 12/27/2025
Facility Type Physician Office
Lab Director DR. ANNE D. HAIRE

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