25D2064164 CLIA NUMBER - PRIORITY MEDICAL CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 25D2064164
  • Facility Name: PRIORITY MEDICAL CLINIC, LLC
  • Facility Address: 601 NORTH 15TH AVENUE
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 651-6362
  • Facility Type: Practitioner Other
  • Facility Type: Certificate of Compliance
  • Lab Director: TOMEKIA POPE
  • NPI Number: 1669805297
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2064164
LAB Type Practitioner Other
Facility Name PRIORITY MEDICAL CLINIC, LLC
Street 601 NORTH 15TH AVENUE
City LAUREL
State MS
ZIP 39440
Phone 601 651-6362
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 10/4/2025
Certificate Expiration Date 10/3/2027
Facility Type Practitioner Other
Lab Director TOMEKIA POPE

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