25D0666058 CLIA NUMBER - ALCORN STATE UNIVERSITY FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 25D0666058
  • Facility Name: ALCORN STATE UNIVERSITY FAMILY CLINIC
  • Facility Address: 15 CAMPUS DRIVE
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 304-4375
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHIRLEY EVERS-MANLY
  • NPI Number: 1285776328
  • Taxonomy: 261QH0100X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0666058
LAB Type Community Clinic
Facility Name ALCORN STATE UNIVERSITY FAMILY CLINIC
Street 15 CAMPUS DRIVE
City NATCHEZ
State MS
ZIP 39120
Phone 601 304-4375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2024
Certificate Expiration Date 7/23/2026
Facility Type Community Clinic
Lab Director SHIRLEY EVERS-MANLY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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