25D2265541 CLIA NUMBER - MORRIS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 25D2265541
  • Facility Name: MORRIS FAMILY MEDICINE
  • Facility Address: 101 MILLSTONE DR
    PEARL, MS
    ZIP 39208
  • Facility Phone: 769 428-7057
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JACOB B. MORRIS
  • NPI Number: 1063149698
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2265541
LAB Type Physician Office
Facility Name MORRIS FAMILY MEDICINE
Street 101 MILLSTONE DR
City PEARL
State MS
ZIP 39208
Phone 769 428-7057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director DR. JACOB B. MORRIS

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