25D2274611 CLIA NUMBER - FLOWOOD PRIMARY CARE

Laboratory Demographics

CLIA Number: 25D2274611

Facility Name: FLOWOOD PRIMARY CARE

Facility Address:
294 E LAYFAIR
FLOWOOD, MS
ZIP 39232
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Facility Phone Number: 601 414-6520

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1912600354

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2274611
LAB Type	Physician Office
Facility Name	FLOWOOD PRIMARY CARE
Street	294 E LAYFAIR
City	FLOWOOD
State	MS
ZIP	39232
Phone	601 414-6520
CertificateType	2
CertificateEffectiveDate	9/28/2023
CertificateExpirationDate	9/27/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024