25D0957654 CLIA NUMBER - FLORENCE FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 25D0957654
  • Facility Name: FLORENCE FAMILY CLINIC
  • Facility Address: 218 EAST MAIN STREET
    FLORENCE, MS
    ZIP 39073
  • Facility Phone: 601 845-6602
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KELLEY MARTIN
  • NPI Number: 1598316895
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0957654
LAB Type Rural Health Clinic
Facility Name FLORENCE FAMILY CLINIC
Street 218 EAST MAIN STREET
City FLORENCE
State MS
ZIP 39073
Phone 601 845-6602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Rural Health Clinic
Lab Director KELLEY MARTIN

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