25D1019888 CLIA NUMBER - EXPRESS CARE CLINIC OF FULTON, PLLC

Laboratory Demographics

  • CLIA Code: 25D1019888
  • Facility Name: EXPRESS CARE CLINIC OF FULTON, PLLC
  • Facility Address: 204 INTERCHANGE DR
    FULTON, MS
    ZIP 38843
  • Facility Phone: 662 862-9040
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN W. WHITE
  • NPI Number: 1780890517
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1019888
LAB Type Physician Office
Facility Name EXPRESS CARE CLINIC OF FULTON, PLLC
Street 204 INTERCHANGE DR
City FULTON
State MS
ZIP 38843
Phone 662 862-9040
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 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director DR. JOHN W. WHITE

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