25D2018114 CLIA NUMBER - MEA MEDICAL CLINIC-SPILLWAY

Laboratory Demographics

  • CLIA Code: 25D2018114
  • Facility Name: MEA MEDICAL CLINIC-SPILLWAY
  • Facility Address: 106 LAKE VISTA PLACE
    BRANDON, MS
    ZIP 39047
  • Facility Phone: 601 919-2924
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMY HOLLMAN
  • NPI Number: 1467937029
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2018114
LAB Type Physician Office
Facility Name MEA MEDICAL CLINIC-SPILLWAY
Street 106 LAKE VISTA PLACE
City BRANDON
State MS
ZIP 39047
Phone 601 919-2924
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 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director AMY HOLLMAN

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