25D2110727 CLIA NUMBER - MEA PRIMARY CARE MADSION

Laboratory Demographics

  • CLIA Code: 25D2110727
  • Facility Name: MEA PRIMARY CARE MADSION
  • Facility Address: 804 HIGHWAY 51
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 605-6146
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOE W. TERRY
  • NPI Number: 1275992786
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2110727
LAB Type Physician Office
Facility Name MEA PRIMARY CARE MADSION
Street 804 HIGHWAY 51
City MADISON
State MS
ZIP 39110
Phone 601 605-6146
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director JOE W. TERRY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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