25D2198411 CLIA NUMBER - GULF COAST VASCULAR CARE

Laboratory Demographics

  • CLIA Code: 25D2198411
  • Facility Name: GULF COAST VASCULAR CARE
  • Facility Address: 14219 COOK RD
    BILOXI, MS
    ZIP 39532
  • Facility Phone: 228 207-0810
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES WEBB
  • NPI Number: 1043825540
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2198411
LAB Type Physician Office
Facility Name GULF COAST VASCULAR CARE
Street 14219 COOK RD
City BILOXI
State MS
ZIP 39532
Phone 228 207-0810
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2024
Certificate Expiration Date 11/1/2026
Facility Type Physician Office
Lab Director CHARLES WEBB

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