25D2234896 CLIA NUMBER - WAYNE GENERAL HOSPITAL - AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 25D2234896
  • Facility Name: WAYNE GENERAL HOSPITAL - AMBULANCE SERVICE
  • Facility Address: 950 MATTHEW DR
    WAYNESBORO, MS
    ZIP 39367
  • Facility Phone: 601 735-5151
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DANE PITTS
  • NPI Number: 1366614901
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 25D2234896
LAB Type Ambulance
Facility Name WAYNE GENERAL HOSPITAL - AMBULANCE SERVICE
Street 950 MATTHEW DR
City WAYNESBORO
State MS
ZIP 39367
Phone 601 735-5151
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2023
Certificate Expiration Date 9/2/2025
Facility Type Ambulance
Lab Director DANE PITTS

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