25D2083002 CLIA NUMBER - GETWELL URGENT CARE, LLC

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Laboratory Demographics

CLIA Number: 25D2083002

Facility Name: GETWELL URGENT CARE, LLC

Facility Address:
6752 GETWELL ROAD
SOUTHAVEN, MS
ZIP 38672
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Facility Phone Number: 662 796-1111

Facility Type: Independent

Certificate Type: Certificate of Compliance

NPI Number: 1144639816

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2083002
LAB Type	Independent
Facility Name	GETWELL URGENT CARE, LLC
Street	6752 GETWELL ROAD
City	SOUTHAVEN
State	MS
ZIP	38672
Phone	662 796-1111
CertificateType	2
CertificateEffectiveDate	3/12/2023
CertificateExpirationDate	3/11/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024