25D2137451 CLIA NUMBER - SAUL DERMATOLOGY, PA

Laboratory Demographics

  • CLIA Code: 25D2137451
  • Facility Name: SAUL DERMATOLOGY, PA
  • Facility Address: 5002 HWY 39 N, BLDG A
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 512-0500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENNETH SAUL
  • NPI Number: 1932553245
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2137451
LAB Type Physician Office
Facility Name SAUL DERMATOLOGY, PA
Street 5002 HWY 39 N, BLDG A
City MERIDIAN
State MS
ZIP 39301
Phone 601 512-0500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Physician Office
Lab Director KENNETH SAUL

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