25D2066168 CLIA NUMBER - MRH MEDICAL GROUP WEST POINT OB/GYN & PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 25D2066168
  • Facility Name: MRH MEDICAL GROUP WEST POINT OB/GYN & PRIMARY CARE
  • Facility Address: 116 MEDICAL CENTER DRIVE
    WEST POINT, MS
    ZIP 39773
  • Facility Phone: 662 492-3183
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. TIMOTHY E. WHITTLE
  • NPI Number: 1336703099
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2066168
LAB Type Physician Office
Facility Name MRH MEDICAL GROUP WEST POINT OB/GYN & PRIMARY CARE
Street 116 MEDICAL CENTER DRIVE
City WEST POINT
State MS
ZIP 39773
Phone 662 492-3183
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 9/23/2023
Certificate Expiration Date 9/22/2025
Facility Type Physician Office
Lab Director DR. TIMOTHY E. WHITTLE

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This page was last updated on: 6/4/2025