25D0708937 CLIA NUMBER - AMEDISYS MISSISSIPPI DBA AMEDISYS HH VICKSBURG

Laboratory Demographics

  • CLIA Code: 25D0708937
  • Facility Name: AMEDISYS MISSISSIPPI DBA AMEDISYS HH VICKSBURG
  • Facility Address: 2080 SOUTH FRONTAGE RD STE 105
    VICKSBURG, MS
    ZIP 39180
  • Facility Phone: 601 619-3670
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: APRIL DRAKE
  • NPI Number: 1245288943
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 25D0708937
LAB Type Home Health Agency
Facility Name AMEDISYS MISSISSIPPI DBA AMEDISYS HH VICKSBURG
Street 2080 SOUTH FRONTAGE RD STE 105
City VICKSBURG
State MS
ZIP 39180
Phone 601 619-3670
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director APRIL DRAKE

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