25D2010654 CLIA NUMBER - PASCAGOULA URGENT CARE LLC

Laboratory Demographics

  • CLIA Code: 25D2010654
  • Facility Name: PASCAGOULA URGENT CARE LLC
  • Facility Address: 2210 DENNY AVENUE
    PASCAGOULA, MS
    ZIP 39567
  • Facility Phone: 228 372-6040
  • Facility Type: Other - URGENT CARE CENTER
  • Facility Type: Waiver
  • Lab Director: RONNIE ALI
  • NPI Number: 1235442872
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2010654
LAB Type Other - URGENT CARE CENTER
Facility Name PASCAGOULA URGENT CARE LLC
Street 2210 DENNY AVENUE
City PASCAGOULA
State MS
ZIP 39567
Phone 228 372-6040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Other - URGENT CARE CENTER
Lab Director RONNIE ALI

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