25D2193932 CLIA NUMBER - MITCHELL CENTER

Laboratory Demographics

  • CLIA Code: 25D2193932
  • Facility Name: MITCHELL CENTER
  • Facility Address: 2800 W MAIN ST
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 844-1441
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KASIE WOOD
  • NPI Number: 1316346992
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2193932
LAB Type Assisted Living Facility
Facility Name MITCHELL CENTER
Street 2800 W MAIN ST
City TUPELO
State MS
ZIP 38801
Phone 662 844-1441
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Assisted Living Facility
Lab Director KASIE WOOD

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