25D0320068 CLIA NUMBER - FREEDOM HOSPITAL OF MAGNOLIA DBA BEACHAM MEMORIAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 25D0320068
  • Facility Name: FREEDOM HOSPITAL OF MAGNOLIA DBA BEACHAM MEMORIAL HOSPITAL
  • Facility Address: 205 N CHERRY ST
    MAGNOLIA, MS
    ZIP 39652
  • Facility Phone: 601 783-2351
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. LUCIUS LAMPTON
  • NPI Number: 1235686130
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0320068
LAB Type Hospital
Facility Name FREEDOM HOSPITAL OF MAGNOLIA DBA BEACHAM MEMORIAL HOSPITAL
Street 205 N CHERRY ST
City MAGNOLIA
State MS
ZIP 39652
Phone 601 783-2351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Hospital
Lab Director DR. LUCIUS LAMPTON

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This page was last updated on: 6/4/2025