25D0673115 CLIA NUMBER - JACKSON ONCOLOGY ASSOCIATES

Laboratory Demographics

  • CLIA Code: 25D0673115
  • Facility Name: JACKSON ONCOLOGY ASSOCIATES
  • Facility Address: 1227 NORTH STATE ST STE 101
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 974-5525
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JUSTIN T. BAKER
  • NPI Number: 1023147204
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0673115
LAB Type Physician Office
Facility Name JACKSON ONCOLOGY ASSOCIATES
Street 1227 NORTH STATE ST STE 101
City JACKSON
State MS
ZIP 39202
Phone 601 974-5525
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 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director DR. JUSTIN T. BAKER

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