25D2028484 CLIA NUMBER - MAGEE AFTER HOURS CLINIC

Laboratory Demographics

  • CLIA Code: 25D2028484
  • Facility Name: MAGEE AFTER HOURS CLINIC
  • Facility Address: 376 SIMPSON HWY 149, SUTIE 400
    MAGEE, MS
    ZIP 39111
  • Facility Phone: 601 849-1475
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TABITHA K. HAYS
  • NPI Number: 1902013584
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 25D2028484
LAB Type Rural Health Clinic
Facility Name MAGEE AFTER HOURS CLINIC
Street 376 SIMPSON HWY 149, SUTIE 400
City MAGEE
State MS
ZIP 39111
Phone 601 849-1475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Rural Health Clinic
Lab Director TABITHA K. HAYS

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