25D1000721 CLIA NUMBER - TUPELO SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 25D1000721
  • Facility Name: TUPELO SURGERY CENTER LLC
  • Facility Address: 3353 NORTH GLOSTER STREET SUITE 300
    TUPELO, MS
    ZIP 38804
  • Facility Phone: 662 407-0334
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PAM LEMONS
  • NPI Number: 1164472031
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1000721
LAB Type Ambulatory Surgery Center
Facility Name TUPELO SURGERY CENTER LLC
Street 3353 NORTH GLOSTER STREET SUITE 300
City TUPELO
State MS
ZIP 38804
Phone 662 407-0334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Ambulatory Surgery Center
Lab Director PAM LEMONS

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