25D2291890 CLIA NUMBER - LELAND MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 25D2291890
  • Facility Name: LELAND MEDICAL CLINIC
  • Facility Address: 206 BAKER BLVD
    LELAND, MS
    ZIP 38756
  • Facility Phone: 662 686-4121
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. ROBERT N. SUARES JR
  • NPI Number: 1962940908
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2291890
LAB Type Federally Qualified Health Center
Facility Name LELAND MEDICAL CLINIC
Street 206 BAKER BLVD
City LELAND
State MS
ZIP 38756
Phone 662 686-4121
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Federally Qualified Health Center
Lab Director DR. ROBERT N. SUARES JR

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