25D2294346 CLIA NUMBER - RAPHA WELLNESS AND PRIMARY CARE

Laboratory Demographics

CLIA Number: 25D2294346

Facility Name: RAPHA WELLNESS AND PRIMARY CARE

Facility Address:
140 DAUGHDRILL STATION
FLOWOOD, MS
ZIP 39232
Get Directions

Facility Phone Number: 601 992-9790

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457051591

Taxonomy: 261QP2300X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	11/22/2023
CertificateExpirationDate	11/21/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024