25D2190931 CLIA NUMBER - HEC MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 25D2190931
  • Facility Name: HEC MEDICAL LLC
  • Facility Address: 6858 SWINNEA ROAD, BUILDING 7
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 662 536-6210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARRIE CARR
  • NPI Number: 1619433943
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2190931
LAB Type Physician Office
Facility Name HEC MEDICAL LLC
Street 6858 SWINNEA ROAD, BUILDING 7
City SOUTHAVEN
State MS
ZIP 38671
Phone 662 536-6210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Physician Office
Lab Director CARRIE CARR

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