25D2094499 CLIA NUMBER - TERRY W ODOM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 25D2094499
  • Facility Name: TERRY W ODOM PEDIATRICS
  • Facility Address: 702 EARL FRYE BLVD
    AMORY, MS
    ZIP 38821
  • Facility Phone: 662 256-9391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TERRY W. ODOM
  • NPI Number: 1093814980
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D2094499
LAB Type Physician Office
Facility Name TERRY W ODOM PEDIATRICS
Street 702 EARL FRYE BLVD
City AMORY
State MS
ZIP 38821
Phone 662 256-9391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director TERRY W. ODOM

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