25D2087080 CLIA NUMBER - EVERYCARE EXPRESS CLINIC, PA

Laboratory Demographics

  • CLIA Code: 25D2087080
  • Facility Name: EVERYCARE EXPRESS CLINIC, PA
  • Facility Address: 162 FEATHER LANE
    CANTON, MS
    ZIP 39046
  • Facility Phone: 601 720-5303
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE P. JACKSON
  • NPI Number: 1225433436
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2087080
LAB Type Practitioner Other
Facility Name EVERYCARE EXPRESS CLINIC, PA
Street 162 FEATHER LANE
City CANTON
State MS
ZIP 39046
Phone 601 720-5303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2024
Certificate Expiration Date 11/16/2026
Facility Type Practitioner Other
Lab Director STEPHANIE P. JACKSON

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