25D2136793 CLIA NUMBER - FLOWOOD VASCULAR ACCESS ASC, LLC

Laboratory Demographics

  • CLIA Code: 25D2136793
  • Facility Name: FLOWOOD VASCULAR ACCESS ASC, LLC
  • Facility Address: 1010 LAKELAND SQUARE EXT STE B
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 936-0890
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. MARK KLEIN
  • NPI Number: 1770832461
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 25D2136793
LAB Type Ambulatory Surgery Center
Facility Name FLOWOOD VASCULAR ACCESS ASC, LLC
Street 1010 LAKELAND SQUARE EXT STE B
City FLOWOOD
State MS
ZIP 39232
Phone 601 936-0890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2025
Certificate Expiration Date 9/14/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. MARK KLEIN

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