25D2158902 CLIA NUMBER - SPECIALTY SURGERY & LASER CENTER

Laboratory Demographics

  • CLIA Code: 25D2158902
  • Facility Name: SPECIALTY SURGERY & LASER CENTER
  • Facility Address: 306 BRADLEY RD STE A
    CORINTH, MS
    ZIP 38834
  • Facility Phone: 662 286-6068
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DARWIN B. WOOTEN
  • NPI Number: 1194214510
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2158902
LAB Type Ambulatory Surgery Center
Facility Name SPECIALTY SURGERY & LASER CENTER
Street 306 BRADLEY RD STE A
City CORINTH
State MS
ZIP 38834
Phone 662 286-6068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. DARWIN B. WOOTEN

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