25D2308616 CLIA NUMBER - ENDOCRINE DIABETES & THYROID CENTER, PLLC

Laboratory Demographics

  • CLIA Code: 25D2308616
  • Facility Name: ENDOCRINE DIABETES & THYROID CENTER, PLLC
  • Facility Address: 7900 AIRWAYS BLVD, BLDG A3A
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 662 655-4540
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. FRANCESCA A. WILKINS
  • NPI Number: 1922872076
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2308616
LAB Type Physician Office
Facility Name ENDOCRINE DIABETES & THYROID CENTER, PLLC
Street 7900 AIRWAYS BLVD, BLDG A3A
City SOUTHAVEN
State MS
ZIP 38671
Phone 662 655-4540
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/31/2024
Certificate Expiration Date 7/30/2026
Facility Type Physician Office
Lab Director DR. FRANCESCA A. WILKINS

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