25D2329084 CLIA NUMBER - RED HILLS ORTHO, LLC

Laboratory Demographics

  • CLIA Code: 25D2329084
  • Facility Name: RED HILLS ORTHO, LLC
  • Facility Address: 17045 E MAIN STREET
    LOUISVILLE, MS
    ZIP 39339
  • Facility Phone: 662 773-3700
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MISTY A. DEMPSEY
  • NPI Number: 1235154048
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 25D2329084
LAB Type Practitioner Other
Facility Name RED HILLS ORTHO, LLC
Street 17045 E MAIN STREET
City LOUISVILLE
State MS
ZIP 39339
Phone 662 773-3700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Practitioner Other
Lab Director MISTY A. DEMPSEY

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