25D2067343 CLIA NUMBER - MERIT HEALTH MEDICAL GROUP CROSSGATES

Laboratory Demographics

  • CLIA Code: 25D2067343
  • Facility Name: MERIT HEALTH MEDICAL GROUP CROSSGATES
  • Facility Address: 187 DOCTORS DR
    PEARL, MS
    ZIP 39208
  • Facility Phone: 601 932-8724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KURT JOHNSON
  • NPI Number: 1891240230
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2067343
LAB Type Physician Office
Facility Name MERIT HEALTH MEDICAL GROUP CROSSGATES
Street 187 DOCTORS DR
City PEARL
State MS
ZIP 39208
Phone 601 932-8724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2023
Certificate Expiration Date 10/14/2025
Facility Type Physician Office
Lab Director DR. KURT JOHNSON

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