25D2041562 CLIA NUMBER - JTM ENTERPRISES, PLLC DBA FORD VISION CLINIC

Laboratory Demographics

  • CLIA Code: 25D2041562
  • Facility Name: JTM ENTERPRISES, PLLC DBA FORD VISION CLINIC
  • Facility Address: 706 HWY 12 WEST, SUITE F
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 323-0571
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TINDALL D. MORRISON
  • NPI Number: 1295220101
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2041562
LAB Type Physician Office
Facility Name JTM ENTERPRISES, PLLC DBA FORD VISION CLINIC
Street 706 HWY 12 WEST, SUITE F
City STARKVILLE
State MS
ZIP 39759
Phone 662 323-0571
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Physician Office
Lab Director TINDALL D. MORRISON

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