25D2199807 CLIA NUMBER - ANTHONY BUCKLES MD SC

Laboratory Demographics

  • CLIA Code: 25D2199807
  • Facility Name: ANTHONY BUCKLES MD SC
  • Facility Address: 105 NORTHGATE RD STE D
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 769 355-7052
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANTHONY L. BUCKLES
  • NPI Number: 1528053212
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2199807
LAB Type Physician Office
Facility Name ANTHONY BUCKLES MD SC
Street 105 NORTHGATE RD STE D
City NATCHEZ
State MS
ZIP 39120
Phone 769 355-7052
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Physician Office
Lab Director DR. ANTHONY L. BUCKLES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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