25D0030330 CLIA NUMBER - WALTHALL GENERAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 25D0030330
  • Facility Name: WALTHALL GENERAL HOSPITAL
  • Facility Address: 100 HOSPITAL DRIVE
    TYLERTOWN, MS
    ZIP 39667
  • Facility Phone: 601 876-0421
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ANDREW L. DUNN
  • NPI Number: 1023326485
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 25D0030330
LAB Type Hospital
Facility Name WALTHALL GENERAL HOSPITAL
Street 100 HOSPITAL DRIVE
City TYLERTOWN
State MS
ZIP 39667
Phone 601 876-0421
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 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Hospital
Lab Director DR. ANDREW L. DUNN

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