25D2136510 CLIA NUMBER - MAYS MEDICAL WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 25D2136510
  • Facility Name: MAYS MEDICAL WELLNESS, LLC
  • Facility Address: 3964 GOODMAN RD E STE 128
    SOUTHAVEN, MS
    ZIP 38672
  • Facility Phone: 662 655-0456
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID E. SHARP
  • NPI Number: 1649790437
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2136510
LAB Type Physician Office
Facility Name MAYS MEDICAL WELLNESS, LLC
Street 3964 GOODMAN RD E STE 128
City SOUTHAVEN
State MS
ZIP 38672
Phone 662 655-0456
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 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Physician Office
Lab Director DAVID E. SHARP

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