25D0690726 CLIA NUMBER - OCHSNER WATKINS HOSPITAL

Laboratory Demographics

CLIA Number: 25D0690726

Facility Name: OCHSNER WATKINS HOSPITAL

Facility Address:
605 SOUTH ARCHUSA AVE
QUITMAN, MS
ZIP 39355
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Facility Phone Number: 601 776-6925

Facility Type: Hospital

Certificate Type: Certificate of Compliance

NPI Number: 1912079625

Taxonomy: 282NC0060X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	25D0690726
LAB Type	Hospital
Facility Name	OCHSNER WATKINS HOSPITAL
Street	605 SOUTH ARCHUSA AVE
City	QUITMAN
State	MS
ZIP	39355
Phone	601 776-6925
CertificateType	2
CertificateEffectiveDate	9/25/2022
CertificateExpirationDate	9/24/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024