25D2263964 CLIA NUMBER - PROTEUS GENOMICS LLC

Laboratory Demographics

  • CLIA Code: 25D2263964
  • Facility Name: PROTEUS GENOMICS LLC
  • Facility Address: 46 SHELBY THAMES DR - LAB #165
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 549-4182
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: MARY C. LONG
  • NPI Number: 1558097592
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2263964
LAB Type Independent
Facility Name PROTEUS GENOMICS LLC
Street 46 SHELBY THAMES DR - LAB #165
City HATTIESBURG
State MS
ZIP 39402
Phone 601 549-4182
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Independent
Lab Director MARY C. LONG

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