King's Daughters Medical Clinic

CLIA Laboratory Citation Details

1
Total Citation
1
Total Deficiency
1
Unique D-Tag
CMS Certification Number 25D1039410
Address 950 Brookway Boulevard, Brookhaven, MS, 39601
City Brookhaven
State MS
Zip Code39601
Phone601 833-7973
Lab DirectorROBERT BRITT

Citation History (1 survey)

Survey - March 20, 2019

Survey Type: Standard

Survey Event ID: W61C11

Deficiency Tags: D0000

Summary:

Summary Statement of Deficiencies D0000 King's Daughters Medical Clinic is in compliance with 42 CFR Part 493, all subparts, requirements for clinical laboratories. No deficiencies were cited. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --

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