25D2306918 CLIA NUMBER - DAVIS FAMILY MEDICAL & EXPRESS CARE

Laboratory Demographics

  • CLIA Code: 25D2306918
  • Facility Name: DAVIS FAMILY MEDICAL & EXPRESS CARE
  • Facility Address: 116 E COMMERCE
    HERNANDO, MS
    ZIP 38632
  • Facility Phone: 662 469-6000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY G. DAVIS
  • NPI Number: 1639935042
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2306918
LAB Type Physician Office
Facility Name DAVIS FAMILY MEDICAL & EXPRESS CARE
Street 116 E COMMERCE
City HERNANDO
State MS
ZIP 38632
Phone 662 469-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Physician Office
Lab Director TIMOTHY G. DAVIS

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