25D2058005 CLIA NUMBER - BAPTIST LEAKE PRIMARY CARE CENTER

Laboratory Demographics

  • CLIA Code: 25D2058005
  • Facility Name: BAPTIST LEAKE PRIMARY CARE CENTER
  • Facility Address: 1100 HWY 16 EAST
    CARTHAGE, MS
    ZIP 39051
  • Facility Phone: 601 267-1470
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. PERRY
  • NPI Number: 1588940811
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2058005
LAB Type Rural Health Clinic
Facility Name BAPTIST LEAKE PRIMARY CARE CENTER
Street 1100 HWY 16 EAST
City CARTHAGE
State MS
ZIP 39051
Phone 601 267-1470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Rural Health Clinic
Lab Director WILLIAM D. PERRY

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