25D2209292 CLIA NUMBER - STAT TO GO LAB TESTING

Laboratory Demographics

  • CLIA Code: 25D2209292
  • Facility Name: STAT TO GO LAB TESTING
  • Facility Address: 511 W LAUREL AVE
    TYLERTOWN, MS
    ZIP 39667
  • Facility Phone: 769 204-0075
  • Facility Type: Other - HOUSE CALLS
  • Facility Type: Waiver
  • Lab Director: CHRISTIUNA A. RILEY
  • NPI Number: 1467248898
  • Taxonomy: 246RM2200X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 25D2209292
LAB Type Other - HOUSE CALLS
Facility Name STAT TO GO LAB TESTING
Street 511 W LAUREL AVE
City TYLERTOWN
State MS
ZIP 39667
Phone 769 204-0075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2023
Certificate Expiration Date 11/14/2025
Facility Type Other - HOUSE CALLS
Lab Director CHRISTIUNA A. RILEY

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