25D2106532 CLIA NUMBER - GTREC

Laboratory Demographics

  • CLIA Code: 25D2106532
  • Facility Name: GTREC
  • Facility Address: 522 ALABAMA ST
    COLUMBUS, MS
    ZIP 39702
  • Facility Phone: 662 327-7271
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. REAGAN L. FORD
  • NPI Number: 1982906509
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 25D2106532
LAB Type Physician Office
Facility Name GTREC
Street 522 ALABAMA ST
City COLUMBUS
State MS
ZIP 39702
Phone 662 327-7271
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Physician Office
Lab Director DR. REAGAN L. FORD

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