25D2281132 CLIA NUMBER - GULF COAST URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 25D2281132
  • Facility Name: GULF COAST URGENT CARE LLC
  • Facility Address: 1025 DIVISION ST STE #D1
    BILOXI, MS
    ZIP 39530
  • Facility Phone: 228 267-3551
  • Facility Type: Independent
  • Facility Type: Microscopy
  • Lab Director: KELLY L. TINSON
  • NPI Number: 1588158125
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 25D2281132
LAB Type Independent
Facility Name GULF COAST URGENT CARE LLC
Street 1025 DIVISION ST STE #D1
City BILOXI
State MS
ZIP 39530
Phone 228 267-3551
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Independent
Lab Director KELLY L. TINSON

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