25D2049711 CLIA NUMBER - WESSON & MOTHERSHED MANAGEMENT

Laboratory Demographics

  • CLIA Code: 25D2049711
  • Facility Name: WESSON & MOTHERSHED MANAGEMENT
  • Facility Address: 3353 N GLOSTER ST
    TUPELO, MS
    ZIP 38804
  • Facility Phone: 662 844-3555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAX M. ECKARD
  • NPI Number: 1912958489
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 25D2049711
LAB Type Physician Office
Facility Name WESSON & MOTHERSHED MANAGEMENT
Street 3353 N GLOSTER ST
City TUPELO
State MS
ZIP 38804
Phone 662 844-3555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Physician Office
Lab Director DAX M. ECKARD

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