25D2257883 CLIA NUMBER - MAXEM URGENT CARE

Laboratory Demographics

  • CLIA Code: 25D2257883
  • Facility Name: MAXEM URGENT CARE
  • Facility Address: 4910 OLD HWY 11
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 909-6240
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DR. RONNIE ALI
  • NPI Number: 1699432765
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2257883
LAB Type Other - URGENT CARE
Facility Name MAXEM URGENT CARE
Street 4910 OLD HWY 11
City HATTIESBURG
State MS
ZIP 39402
Phone 601 909-6240
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Other - URGENT CARE
Lab Director DR. RONNIE ALI

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