25D2292788 CLIA NUMBER - BOLIVAR MEDICAL CENTER - RADIOLOGY DEPARTMENT

Laboratory Demographics

  • CLIA Code: 25D2292788
  • Facility Name: BOLIVAR MEDICAL CENTER - RADIOLOGY DEPARTMENT
  • Facility Address: 901 E SUNFLOWER DR - RADIOLOGY DEPARTMENT
    CLEVELAND, MS
    ZIP 38732
  • Facility Phone: 662 846-2551
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SOMMER B. REDMAN
  • NPI Number: 1306142062
  • Taxonomy: 273R00000X - Psychiatric Unit

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CLIA Record

Field Name Field Value
CLIA Number 25D2292788
LAB Type Hospital
Facility Name BOLIVAR MEDICAL CENTER - RADIOLOGY DEPARTMENT
Street 901 E SUNFLOWER DR - RADIOLOGY DEPARTMENT
City CLEVELAND
State MS
ZIP 38732
Phone 662 846-2551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Hospital
Lab Director SOMMER B. REDMAN

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