25D1069922 CLIA NUMBER - MIDNIGHT-MEDICAL INC

Laboratory Demographics

  • CLIA Code: 25D1069922
  • Facility Name: MIDNIGHT-MEDICAL INC
  • Facility Address: 848 S MADISON STREET
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 844-4177
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAVID MACKEY
  • NPI Number: 1770727257
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D1069922
LAB Type Practitioner Other
Facility Name MIDNIGHT-MEDICAL INC
Street 848 S MADISON STREET
City TUPELO
State MS
ZIP 38801
Phone 662 844-4177
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Practitioner Other
Lab Director DAVID MACKEY

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