25D2175335 CLIA NUMBER - MAXIMUM CARE AFTER HOURS CLINIC LLC

Laboratory Demographics

  • CLIA Code: 25D2175335
  • Facility Name: MAXIMUM CARE AFTER HOURS CLINIC LLC
  • Facility Address: 212 HWY 61
    SHAW, MS
    ZIP 38773
  • Facility Phone: 662 754-3339
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TAMMARIN S. COLLINS
  • NPI Number: 1669018008
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2175335
LAB Type Practitioner Other
Facility Name MAXIMUM CARE AFTER HOURS CLINIC LLC
Street 212 HWY 61
City SHAW
State MS
ZIP 38773
Phone 662 754-3339
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2023
Certificate Expiration Date 11/18/2025
Facility Type Practitioner Other
Lab Director TAMMARIN S. COLLINS

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