25D2134706 CLIA NUMBER - BIOMEDICAL APPS OF MS INC DBA FRESENIUS MC MID-MS

Laboratory Demographics

CLIA Number: 25D2134706

Facility Name: BIOMEDICAL APPS OF MS INC DBA FRESENIUS MC MID-MS

Facility Address:
656 N STATE ST
JACKSON, MS
ZIP 39202
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Facility Phone Number: 601 944-0151

Facility Type: End Stage Renal Disease Dialysis Facility

Certificate Type: Waiver

NPI Number: 1417481755

Taxonomy: 261QE0700X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2134706
LAB Type	End Stage Renal Disease Dialysis Facility
Facility Name	BIOMEDICAL APPS OF MS INC DBA FRESENIUS MC MID-MS
Street	656 N STATE ST
City	JACKSON
State	MS
ZIP	39202
Phone	601 944-0151
CertificateType	4
CertificateEffectiveDate	8/8/2023
CertificateExpirationDate	8/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024