25D1030990 CLIA NUMBER - U-FIRST MEDICAL CLINIC, INC

Laboratory Demographics

  • CLIA Code: 25D1030990
  • Facility Name: U-FIRST MEDICAL CLINIC, INC
  • Facility Address: 3276 S LIBERTY ST
    CANTON, MS
    ZIP 39046
  • Facility Phone: 601 407-1137
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY A. JOHNSON
  • NPI Number: 1508942244
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D1030990
LAB Type Other
Facility Name U-FIRST MEDICAL CLINIC, INC
Street 3276 S LIBERTY ST
City CANTON
State MS
ZIP 39046
Phone 601 407-1137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/22/2024
Certificate Expiration Date 9/21/2026
Facility Type Other
Lab Director MARY A. JOHNSON

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