25D2107397 CLIA NUMBER - MERIDIAN WEIGHT MANAGEMENT CENTER

Laboratory Demographics

  • CLIA Code: 25D2107397
  • Facility Name: MERIDIAN WEIGHT MANAGEMENT CENTER
  • Facility Address: 4715 24TH PLACE
    MERIDIAN, MS
    ZIP 39305
  • Facility Phone: 601 696-6736
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA D. GOODWIN
  • NPI Number: 1952739229
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2107397
LAB Type Physician Office
Facility Name MERIDIAN WEIGHT MANAGEMENT CENTER
Street 4715 24TH PLACE
City MERIDIAN
State MS
ZIP 39305
Phone 601 696-6736
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Physician Office
Lab Director ANDREA D. GOODWIN

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