25D0320010 CLIA NUMBER - AMITE COUNTY MEDICAL SERVICES, INC

Laboratory Demographics

  • CLIA Code: 25D0320010
  • Facility Name: AMITE COUNTY MEDICAL SERVICES, INC
  • Facility Address: 102 WEST FREEDOM DRIVE
    LIBERTY, MS
    ZIP 39645
  • Facility Phone: 601 657-4326
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. RASHEEDA HALL
  • NPI Number: 1265646145
  • Taxonomy: 163WS0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 25D0320010
LAB Type Federally Qualified Health Center
Facility Name AMITE COUNTY MEDICAL SERVICES, INC
Street 102 WEST FREEDOM DRIVE
City LIBERTY
State MS
ZIP 39645
Phone 601 657-4326
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Federally Qualified Health Center
Lab Director DR. RASHEEDA HALL

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