25D2274549 CLIA NUMBER - EUDORA MEDICAL CENTER, LLC

Laboratory Demographics

  • CLIA Code: 25D2274549
  • Facility Name: EUDORA MEDICAL CENTER, LLC
  • Facility Address: 8995 W COMMERCE STREET, SUITE 104
    HERNANDO, MS
    ZIP 38632
  • Facility Phone: 662 589-6290
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMY M. PERKINS
  • NPI Number: 1255043493
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2274549
LAB Type Practitioner Other
Facility Name EUDORA MEDICAL CENTER, LLC
Street 8995 W COMMERCE STREET, SUITE 104
City HERNANDO
State MS
ZIP 38632
Phone 662 589-6290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Practitioner Other
Lab Director AMY M. PERKINS

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