25D1062485 CLIA NUMBER - MONROE HEALTH SERVICES DBA AMORY SPECIALTY CLINIC

Laboratory Demographics

  • CLIA Code: 25D1062485
  • Facility Name: MONROE HEALTH SERVICES DBA AMORY SPECIALTY CLINIC
  • Facility Address: 1107 EARL FRYE BLVD STE 6
    AMORY, MS
    ZIP 38821
  • Facility Phone: 662 256-9327
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUDY E. WYCKOFF
  • NPI Number: 1295461390
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1062485
LAB Type Physician Office
Facility Name MONROE HEALTH SERVICES DBA AMORY SPECIALTY CLINIC
Street 1107 EARL FRYE BLVD STE 6
City AMORY
State MS
ZIP 38821
Phone 662 256-9327
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Physician Office
Lab Director JUDY E. WYCKOFF

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