25D0718770 CLIA NUMBER - AARON E HENRY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 25D0718770
  • Facility Name: AARON E HENRY HEALTH CENTER
  • Facility Address: 800 OHIO AVENUE
    CLARKSDALE, MS
    ZIP 38614
  • Facility Phone: 662 624-2505
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: WILLIAM L. BOOKER
  • NPI Number: 1144227901
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0718770
LAB Type Community Clinic
Facility Name AARON E HENRY HEALTH CENTER
Street 800 OHIO AVENUE
City CLARKSDALE
State MS
ZIP 38614
Phone 662 624-2505
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Community Clinic
Lab Director WILLIAM L. BOOKER

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This page was last updated on: 3/20/2025