25D2297198 CLIA NUMBER - SANDRA SPIERS, LLC

Laboratory Demographics

  • CLIA Code: 25D2297198
  • Facility Name: SANDRA SPIERS, LLC
  • Facility Address: 117 B NORTH MAIN STREET
    PICAYUNE, MS
    ZIP 39466
  • Facility Phone: 601 347-3029
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: SANDRA SPIERS
  • NPI Number: 1518167949
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2297198
LAB Type Practitioner Other
Facility Name SANDRA SPIERS, LLC
Street 117 B NORTH MAIN STREET
City PICAYUNE
State MS
ZIP 39466
Phone 601 347-3029
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Practitioner Other
Lab Director SANDRA SPIERS

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