25D2268541 CLIA NUMBER - MERIT HEALTH MEDICAL GROUP BRANDON SOUTH

Laboratory Demographics

  • CLIA Code: 25D2268541
  • Facility Name: MERIT HEALTH MEDICAL GROUP BRANDON SOUTH
  • Facility Address: 2841 HWY 18 STE A
    BRANDON, MS
    ZIP 39042
  • Facility Phone: 769 241-6207
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA BERTSCHLER
  • NPI Number: 1205882669
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 25D2268541
LAB Type Physician Office
Facility Name MERIT HEALTH MEDICAL GROUP BRANDON SOUTH
Street 2841 HWY 18 STE A
City BRANDON
State MS
ZIP 39042
Phone 769 241-6207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director ERICA BERTSCHLER

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