25D2294346 CLIA NUMBER - RAPHA WELLNESS AND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 25D2294346
  • Facility Name: RAPHA WELLNESS AND PRIMARY CARE
  • Facility Address: 140 DAUGHDRILL STATION
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 992-9790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN BEDELLS
  • NPI Number: 1457051591
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2294346
LAB Type Physician Office
Facility Name RAPHA WELLNESS AND PRIMARY CARE
Street 140 DAUGHDRILL STATION
City FLOWOOD
State MS
ZIP 39232
Phone 601 992-9790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2023
Certificate Expiration Date 11/21/2025
Facility Type Physician Office
Lab Director KAREN BEDELLS

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