25D2091955 CLIA NUMBER - QUICK CARE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 25D2091955
  • Facility Name: QUICK CARE CLINIC, LLC
  • Facility Address: 350 SUNSET DRIVE
    GRENADA, MS
    ZIP 38901
  • Facility Phone: 662 307-2750
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SALINA BLANKENSHIP
  • NPI Number: 1386035202
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2091955
LAB Type Practitioner Other
Facility Name QUICK CARE CLINIC, LLC
Street 350 SUNSET DRIVE
City GRENADA
State MS
ZIP 38901
Phone 662 307-2750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2025
Certificate Expiration Date 2/22/2027
Facility Type Practitioner Other
Lab Director SALINA BLANKENSHIP

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