25D2248523 CLIA NUMBER - MCCLENDON MEDICAL CLINIC PLLC

Laboratory Demographics

CLIA Number: 25D2248523

Facility Name: MCCLENDON MEDICAL CLINIC PLLC

Facility Address:
22C DOCTORS DR
OCEAN SPRINGS, MS
ZIP 39564
Get Directions

Facility Phone Number: 228 244-9910

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053782755

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	25D2248523
LAB Type	Physician Office
Facility Name	MCCLENDON MEDICAL CLINIC PLLC
Street	22C DOCTORS DR
City	OCEAN SPRINGS
State	MS
ZIP	39564
Phone	228 244-9910
CertificateType	4
CertificateEffectiveDate	6/21/2023
CertificateExpirationDate	6/20/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024