25D0030156 CLIA NUMBER - PEARL RIVER COUNTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 25D0030156
  • Facility Name: PEARL RIVER COUNTY HOSPITAL
  • Facility Address: 305 WEST MOODY STREET
    POPLARVILLE, MS
    ZIP 39470
  • Facility Phone: 601 795-4543
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. SHAWN J. LEDOUX
  • NPI Number: 1003026717
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 25D0030156
LAB Type Hospital
Facility Name PEARL RIVER COUNTY HOSPITAL
Street 305 WEST MOODY STREET
City POPLARVILLE
State MS
ZIP 39470
Phone 601 795-4543
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/19/2024
Certificate Expiration Date 4/18/2026
Facility Type Hospital
Lab Director DR. SHAWN J. LEDOUX

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