25D2105928 CLIA NUMBER - WESLEY PHYSICIAN SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 25D2105928
  • Facility Name: WESLEY PHYSICIAN SERVICES, LLC
  • Facility Address: 5808 US HIGHWAY 11
    PURVIS, MS
    ZIP 39475
  • Facility Phone: 601 348-5460
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT W. WATSON

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2105928
LAB Type Physician Office
Facility Name WESLEY PHYSICIAN SERVICES, LLC
Street 5808 US HIGHWAY 11
City PURVIS
State MS
ZIP 39475
Phone 601 348-5460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2023
Certificate Expiration Date 12/6/2025
Facility Type Physician Office
Lab Director DR. ROBERT W. WATSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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