25D2319757 CLIA NUMBER - PHASE2 LABS MISSISSIPPI LLC

Laboratory Demographics

  • CLIA Code: 25D2319757
  • Facility Name: PHASE2 LABS MISSISSIPPI LLC
  • Facility Address: 8727 NORTHWEST DRIVE
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 615 367-1208
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: KATHRYN B. BROWN
  • NPI Number: 1790593614
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2319757
LAB Type Independent
Facility Name PHASE2 LABS MISSISSIPPI LLC
Street 8727 NORTHWEST DRIVE
City SOUTHAVEN
State MS
ZIP 38671
Phone 615 367-1208
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Independent
Lab Director KATHRYN B. BROWN

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