01D0305356 CLIA NUMBER - JACKSON MEDICAL CENTER

Laboratory Demographics

  • Code: 01D0305356
  • Facility Name: JACKSON MEDICAL CENTER
  • Facility Address: 220 HOSPITAL DRIVE
    JACKSON, AL
    ZIP 36545
  • Facility Phone: 251 246-9021
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • NPI Number: 1598770943
  • Taxonomy: 282NR1301X - General Acute Care Hospital
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CLIA Record

Field Name Field Value
CLIA Number 01D0305356
LAB Type Hospital
Facility Name JACKSON MEDICAL CENTER
Street 220 HOSPITAL DRIVE
City JACKSON
State AL
ZIP 36545
Phone 251 246-9021
Certificate Type 2
Certificate Effective Date 1/28/2023
Certificate Expiration Date 1/27/2025
Facility Type Compliance

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This page was last updated on: 4/23/2024