25D2001007 CLIA NUMBER - LEXINGTON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 25D2001007
  • Facility Name: LEXINGTON MEDICAL CLINIC
  • Facility Address: 22741 HIGHWAY 12
    LEXINGTON, MS
    ZIP 39095
  • Facility Phone: 662 834-1961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIAS H. ABBOUD
  • NPI Number: 1942536552
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2001007
LAB Type Physician Office
Facility Name LEXINGTON MEDICAL CLINIC
Street 22741 HIGHWAY 12
City LEXINGTON
State MS
ZIP 39095
Phone 662 834-1961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Physician Office
Lab Director ELIAS H. ABBOUD

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