25D2290782 CLIA NUMBER - COMPLETE DIAGNOSTIC LABORATORIES

Laboratory Demographics

  • CLIA Code: 25D2290782
  • Facility Name: COMPLETE DIAGNOSTIC LABORATORIES
  • Facility Address: 7065 AIRWAYS BLVD #109
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 662 350-0923
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. VIRGINIA DAILEY-GRAHAM
  • NPI Number: 1659143899
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2290782
LAB Type Independent
Facility Name COMPLETE DIAGNOSTIC LABORATORIES
Street 7065 AIRWAYS BLVD #109
City SOUTHAVEN
State MS
ZIP 38671
Phone 662 350-0923
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 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Independent
Lab Director DR. VIRGINIA DAILEY-GRAHAM

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