25D2310399 CLIA NUMBER - HAMAD AHMAD MD PC

Laboratory Demographics

  • CLIA Code: 25D2310399
  • Facility Name: HAMAD AHMAD MD PC
  • Facility Address: 176 GOODMAN RD W
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 662 683-1140
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. HAMAD AHMAD
  • NPI Number: 1528801644
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2310399
LAB Type Physician Office
Facility Name HAMAD AHMAD MD PC
Street 176 GOODMAN RD W
City SOUTHAVEN
State MS
ZIP 38671
Phone 662 683-1140
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director DR. HAMAD AHMAD

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