25D0675989 CLIA NUMBER - NORTH MS MEDICAL CENTER - HEMATOLOGY/ONCOLOGY

Laboratory Demographics

  • CLIA Code: 25D0675989
  • Facility Name: NORTH MS MEDICAL CENTER - HEMATOLOGY/ONCOLOGY
  • Facility Address: 961 SOUTH GLOSTER STREET
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 844-9166
  • Facility Type: Practitioner Other
  • Facility Type: Accreditation
  • Lab Director: DR. AMIT JAIN
  • NPI Number: 1891724035
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0675989
LAB Type Practitioner Other
Facility Name NORTH MS MEDICAL CENTER - HEMATOLOGY/ONCOLOGY
Street 961 SOUTH GLOSTER STREET
City TUPELO
State MS
ZIP 38801
Phone 662 844-9166
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Practitioner Other
Lab Director DR. AMIT JAIN

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