25D2134647 CLIA NUMBER - PRIMARY MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 25D2134647
  • Facility Name: PRIMARY MEDICAL SERVICES
  • Facility Address: 5000 HWY 39 N, 1ST FLOOR
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 581-9980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD A. NANCE
  • NPI Number: 1245781616
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2134647
LAB Type Physician Office
Facility Name PRIMARY MEDICAL SERVICES
Street 5000 HWY 39 N, 1ST FLOOR
City MERIDIAN
State MS
ZIP 39301
Phone 601 581-9980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Physician Office
Lab Director RICHARD A. NANCE

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