25D0975409 CLIA NUMBER - MILLCREEK OF PONTOTOC

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CLIA Record

Field Name Field Value
CLIA Number 25D0975409
LAB Type Other
Facility Name MILLCREEK OF PONTOTOC
Street 1814 HWY 15 NORTH
City PONTOTOC
State MS
ZIP 38863
Phone 662 488-8878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Other
Lab Director KIMBERLY PAINTER

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