25D2091147 CLIA NUMBER - CAFFEY CLINIC LLC

Laboratory Demographics

  • CLIA Code: 25D2091147
  • Facility Name: CAFFEY CLINIC LLC
  • Facility Address: 3297 HIGHWAY 51 S
    SENATOBIA, MS
    ZIP 38668
  • Facility Phone: 662 562-5560
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL B. BAGWELL
  • NPI Number: 1235529298
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2091147
LAB Type Community Clinic
Facility Name CAFFEY CLINIC LLC
Street 3297 HIGHWAY 51 S
City SENATOBIA
State MS
ZIP 38668
Phone 662 562-5560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Community Clinic
Lab Director DR. MICHAEL B. BAGWELL

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