25D0869512 CLIA NUMBER - METTETAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 25D0869512
  • Facility Name: METTETAL FAMILY MEDICINE
  • Facility Address: 401 E LEE ST
    SARDIS, MS
    ZIP 38666
  • Facility Phone: 662 487-0004
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. CARY N. METTETAL
  • NPI Number: 1083786727
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0869512
LAB Type Physician Office
Facility Name METTETAL FAMILY MEDICINE
Street 401 E LEE ST
City SARDIS
State MS
ZIP 38666
Phone 662 487-0004
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 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director DR. CARY N. METTETAL

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