25D2081174 CLIA NUMBER - VAN WURM, MD, PLLC

Laboratory Demographics

  • CLIA Code: 25D2081174
  • Facility Name: VAN WURM, MD, PLLC
  • Facility Address: 3631 BIENVILLE BLVD, SUITE A
    OCEAN SPRINGS, MS
    ZIP 39564
  • Facility Phone: 228 818-0585
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM V. WURM
  • NPI Number: 1508231994
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D2081174
LAB Type Physician Office
Facility Name VAN WURM, MD, PLLC
Street 3631 BIENVILLE BLVD, SUITE A
City OCEAN SPRINGS
State MS
ZIP 39564
Phone 228 818-0585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director WILLIAM V. WURM

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