25D1066589 CLIA NUMBER - MEA MEDICAL CLINIC CANTON

Laboratory Demographics

  • CLIA Code: 25D1066589
  • Facility Name: MEA MEDICAL CLINIC CANTON
  • Facility Address: 112 SOUTH LAKE CIRCLE
    CANTON, MS
    ZIP 39046
  • Facility Phone: 601 859-8550
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PATRICK D. WHIPPLE
  • NPI Number: 1073012118
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1066589
LAB Type Physician Office
Facility Name MEA MEDICAL CLINIC CANTON
Street 112 SOUTH LAKE CIRCLE
City CANTON
State MS
ZIP 39046
Phone 601 859-8550
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 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Physician Office
Lab Director PATRICK D. WHIPPLE

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