25D2301648 CLIA NUMBER - QUINN WELLNESS

Laboratory Demographics

  • CLIA Code: 25D2301648
  • Facility Name: QUINN WELLNESS
  • Facility Address: 128 CUNNINGHAM AVENUE
    TERRY, MS
    ZIP 39170
  • Facility Phone: 601 487-6482
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY M. QUINN
  • NPI Number: 1396502589
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2301648
LAB Type Physician Office
Facility Name QUINN WELLNESS
Street 128 CUNNINGHAM AVENUE
City TERRY
State MS
ZIP 39170
Phone 601 487-6482
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Physician Office
Lab Director TIMOTHY M. QUINN

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