25D0864691 CLIA NUMBER - CCH CLINIC FAMILY MEDICAL

Laboratory Demographics

  • CLIA Code: 25D0864691
  • Facility Name: CCH CLINIC FAMILY MEDICAL
  • Facility Address: 301 HOSPITAL BLVD
    COLLINS, MS
    ZIP 39428
  • Facility Phone: 601 765-3180
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: ANDREA BRUCE
  • NPI Number: 1598769044
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0864691
LAB Type Rural Health Clinic
Facility Name CCH CLINIC FAMILY MEDICAL
Street 301 HOSPITAL BLVD
City COLLINS
State MS
ZIP 39428
Phone 601 765-3180
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Rural Health Clinic
Lab Director ANDREA BRUCE

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This page was last updated on: 6/4/2025