25D2277825 CLIA NUMBER - LSP SOUTHEAST LLC

Laboratory Demographics

  • CLIA Code: 25D2277825
  • Facility Name: LSP SOUTHEAST LLC
  • Facility Address: 290 HANCOCK SQUARE DRIVE
    BAY SAINT LOUIS, MS
    ZIP 39520
  • Facility Phone: 844 522-7827
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DAPHNE PARISH
  • NPI Number: 1104517424
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2277825
LAB Type Independent
Facility Name LSP SOUTHEAST LLC
Street 290 HANCOCK SQUARE DRIVE
City BAY SAINT LOUIS
State MS
ZIP 39520
Phone 844 522-7827
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 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Independent
Lab Director DAPHNE PARISH

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