25D1107864 CLIA NUMBER - EXPRESS CARE WEST, LLC

Laboratory Demographics

  • CLIA Code: 25D1107864
  • Facility Name: EXPRESS CARE WEST, LLC
  • Facility Address: 1651 N COLEY RD
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 269-2230
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: PEGGY S. HUSSEY
  • NPI Number: 1679800841
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1107864
LAB Type Practitioner Other
Facility Name EXPRESS CARE WEST, LLC
Street 1651 N COLEY RD
City TUPELO
State MS
ZIP 38801
Phone 662 269-2230
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 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Practitioner Other
Lab Director PEGGY S. HUSSEY

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