25D0316675 CLIA NUMBER - JERRY M CUNNINGHAM MD

Laboratory Demographics

  • CLIA Code: 25D0316675
  • Facility Name: JERRY M CUNNINGHAM MD
  • Facility Address: 521 FAIRVIEW
    GREENVILLE, MS
    ZIP 38701
  • Facility Phone: 662 334-9182
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JERRY M. CUNNINGHAM
  • NPI Number: 1245309418
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0316675
LAB Type Physician Office
Facility Name JERRY M CUNNINGHAM MD
Street 521 FAIRVIEW
City GREENVILLE
State MS
ZIP 38701
Phone 662 334-9182
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/23/2024
Certificate Expiration Date 8/22/2026
Facility Type Physician Office
Lab Director JERRY M. CUNNINGHAM

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