25D2094324 CLIA NUMBER - EDL MEDICAL, LLC

Laboratory Demographics

  • CLIA Code: 25D2094324
  • Facility Name: EDL MEDICAL, LLC
  • Facility Address: 39 DAVID SWAN LANE
    PURVIS, MS
    ZIP 39475
  • Facility Phone: 601 794-2300
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: MARY C. LONG
  • NPI Number: 1891182812
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2094324
LAB Type Independent
Facility Name EDL MEDICAL, LLC
Street 39 DAVID SWAN LANE
City PURVIS
State MS
ZIP 39475
Phone 601 794-2300
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/7/2024
Certificate Expiration Date 9/6/2026
Facility Type Independent
Lab Director MARY C. LONG

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