25D2021481 CLIA NUMBER - STATCARE PLUS, INC

Laboratory Demographics

  • CLIA Code: 25D2021481
  • Facility Name: STATCARE PLUS, INC
  • Facility Address: 1015 DELAWARE AVENUE, SUITE C
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 249-4777
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J ANDREW WATSON
  • NPI Number: 1194026260
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2021481
LAB Type Physician Office
Facility Name STATCARE PLUS, INC
Street 1015 DELAWARE AVENUE, SUITE C
City MCCOMB
State MS
ZIP 39648
Phone 601 249-4777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2025
Certificate Expiration Date 3/14/2027
Facility Type Physician Office
Lab Director J ANDREW WATSON

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