25D2135805 CLIA NUMBER - NATCHEZ FAMILY MEDICINE, LLC

Laboratory Demographics

CLIA Number: 25D2135805

Facility Name: NATCHEZ FAMILY MEDICINE, LLC

Facility Address:
307 HIGHLAND BLVD
NATCHEZ, MS
ZIP 39120
Get Directions

Facility Phone Number: 601 392-0404

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1346765872

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	25D2135805
LAB Type	Practitioner Other
Facility Name	NATCHEZ FAMILY MEDICINE, LLC
Street	307 HIGHLAND BLVD
City	NATCHEZ
State	MS
ZIP	39120
Phone	601 392-0404
CertificateType	4
CertificateEffectiveDate	8/28/2023
CertificateExpirationDate	8/27/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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