25D0319147 CLIA NUMBER - SOUTH CENTRAL DIAGNOSTIC CENTER

Laboratory Demographics

  • CLIA Code: 25D0319147
  • Facility Name: SOUTH CENTRAL DIAGNOSTIC CENTER
  • Facility Address: 1440 JEFFERSON STREET, SUITE B
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 649-6213
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AMANDA FLEMING
  • NPI Number: 1619346863
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 25D0319147
LAB Type Physician Office
Facility Name SOUTH CENTRAL DIAGNOSTIC CENTER
Street 1440 JEFFERSON STREET, SUITE B
City LAUREL
State MS
ZIP 39440
Phone 601 649-6213
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 10/14/2025
Certificate Expiration Date 10/13/2027
Facility Type Physician Office
Lab Director AMANDA FLEMING

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