25D2209151 CLIA NUMBER - MEDSTAT EMS

Laboratory Demographics

  • CLIA Code: 25D2209151
  • Facility Name: MEDSTAT EMS
  • Facility Address: 506 N APPLEGATE STREET
    WINONA, MS
    ZIP 38967
  • Facility Phone: 662 283-1110
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. DAVID ELDRIDGE
  • NPI Number: 1770533176
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 25D2209151
LAB Type Ambulance
Facility Name MEDSTAT EMS
Street 506 N APPLEGATE STREET
City WINONA
State MS
ZIP 38967
Phone 662 283-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Ambulance
Lab Director MR. DAVID ELDRIDGE

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