25D2299097 CLIA NUMBER - BW MEDICAL DBA MS EXPRESS HEALTH

Laboratory Demographics

  • CLIA Code: 25D2299097
  • Facility Name: BW MEDICAL DBA MS EXPRESS HEALTH
  • Facility Address: 203 CALHOUN STATION PARKWAY
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 668-3825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUNTER D. VAUGHN
  • NPI Number: 1538933742
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2299097
LAB Type Physician Office
Facility Name BW MEDICAL DBA MS EXPRESS HEALTH
Street 203 CALHOUN STATION PARKWAY
City MADISON
State MS
ZIP 39110
Phone 601 668-3825
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director HUNTER D. VAUGHN

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