25D0861411 CLIA NUMBER - CARES CENTER, JACKSON

Laboratory Demographics

  • CLIA Code: 25D0861411
  • Facility Name: CARES CENTER, JACKSON
  • Facility Address: 402 WESLEY AVENUE
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 352-7784
  • Facility Type: Other - PED PSYCH RESIDEN
  • Facility Type: Waiver
  • Lab Director: KIM P. JORDAN
  • NPI Number: 1639382690
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0861411
LAB Type Other - PED PSYCH RESIDEN
Facility Name CARES CENTER, JACKSON
Street 402 WESLEY AVENUE
City JACKSON
State MS
ZIP 39202
Phone 601 352-7784
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 Other - PED PSYCH RESIDEN
Lab Director KIM P. JORDAN

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