25D2106833 CLIA NUMBER - MEGMED HEALTH,LLC

Laboratory Demographics

  • CLIA Code: 25D2106833
  • Facility Name: MEGMED HEALTH,LLC
  • Facility Address: 210 STATE HIGHWAY 30W
    NEW ALBANY, MS
    ZIP 38652
  • Facility Phone: 662 539-7014
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMY H. GOOLSBY
  • NPI Number: 1760856694
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2106833
LAB Type Practitioner Other
Facility Name MEGMED HEALTH,LLC
Street 210 STATE HIGHWAY 30W
City NEW ALBANY
State MS
ZIP 38652
Phone 662 539-7014
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Practitioner Other
Lab Director AMY H. GOOLSBY

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