25D2142182 CLIA NUMBER - STATCARE DBA PLUS ONE MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 25D2142182
  • Facility Name: STATCARE DBA PLUS ONE MEDICAL CLINIC
  • Facility Address: 208 WEST PRESLEY BLVD, STE A
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 465-0745
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN A. WATSON
  • NPI Number: 1174579338
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2142182
LAB Type Physician Office
Facility Name STATCARE DBA PLUS ONE MEDICAL CLINIC
Street 208 WEST PRESLEY BLVD, STE A
City MCCOMB
State MS
ZIP 39648
Phone 601 465-0745
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/4/2024
Certificate Expiration Date 1/3/2026
Facility Type Physician Office
Lab Director JOHN A. WATSON

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