25D2228984 CLIA NUMBER - SPEARS MEDICAL CLINIC LLC

Laboratory Demographics

  • CLIA Code: 25D2228984
  • Facility Name: SPEARS MEDICAL CLINIC LLC
  • Facility Address: 804 ROBB ST
    SUMMIT, MS
    ZIP 39666
  • Facility Phone: 601 608-0900
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DAMON SPEARS
  • NPI Number: 1003497751
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2228984
LAB Type Practitioner Other
Facility Name SPEARS MEDICAL CLINIC LLC
Street 804 ROBB ST
City SUMMIT
State MS
ZIP 39666
Phone 601 608-0900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Practitioner Other
Lab Director DAMON SPEARS

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