25D2182440 CLIA NUMBER - VITAL CARE INFUSION SERVICES OF HATTIESBURG

Laboratory Demographics

  • CLIA Code: 25D2182440
  • Facility Name: VITAL CARE INFUSION SERVICES OF HATTIESBURG
  • Facility Address: 163 TURTLE CREEK DR STE 130
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 602-2238
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: RON EDWARDS
  • NPI Number: 1013410737
  • Taxonomy: 3336C0004X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D2182440
LAB Type Pharmacy
Facility Name VITAL CARE INFUSION SERVICES OF HATTIESBURG
Street 163 TURTLE CREEK DR STE 130
City HATTIESBURG
State MS
ZIP 39402
Phone 601 602-2238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Pharmacy
Lab Director RON EDWARDS

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This page was last updated on: 6/4/2025