25D0863063 CLIA NUMBER - NORTH MISSISSIPPI MED CTR BEHAVIORAL

Laboratory Demographics

  • CLIA Code: 25D0863063
  • Facility Name: NORTH MISSISSIPPI MED CTR BEHAVIORAL
  • Facility Address: 4579 SOUTH EASON
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 601 841-3071
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. SHERRY OKUN
  • NPI Number: 1972612984
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0863063
LAB Type Ancillary Testing Site in Health Care Center
Facility Name NORTH MISSISSIPPI MED CTR BEHAVIORAL
Street 4579 SOUTH EASON
City TUPELO
State MS
ZIP 38801
Phone 601 841-3071
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. SHERRY OKUN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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