25D2227753 CLIA NUMBER - SPECTRA LABORATORIES INC

Laboratory Demographics

  • CLIA Code: 25D2227753
  • Facility Name: SPECTRA LABORATORIES INC
  • Facility Address: 1280 STATELINE RD EAST
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 877 334-0021
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ALEX RYDER
  • NPI Number: 1396321022
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2227753
LAB Type Independent
Facility Name SPECTRA LABORATORIES INC
Street 1280 STATELINE RD EAST
City SOUTHAVEN
State MS
ZIP 38671
Phone 877 334-0021
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Independent
Lab Director DR. ALEX RYDER

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