01D0305356 CLIA NUMBER - JACKSON MEDICAL CENTER

Laboratory Demographics

CLIA Number: 01D0305356

Facility Name: JACKSON MEDICAL CENTER

Facility Address:
220 HOSPITAL DRIVE
JACKSON, AL
ZIP 36545
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Facility Phone Number: (251) 246-9021

Facility Type: HOSPITAL

Certificate Type: Certificate of Compliance

NPI Number: 1598770943

Taxonomy: 282NR1301X - General Acute Care Hospital

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

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This page was last updated on: 5/11/2023