25D0868722 CLIA NUMBER - OCHSNER HEALTH CENTER - CENTRAL

Laboratory Demographics

CLIA Number: 25D0868722

Facility Name: OCHSNER HEALTH CENTER - CENTRAL

Facility Address:
1221 24TH AVE
MERIDIAN, MS
ZIP 39301
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Facility Phone Number: 601 486-4210

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1124466214

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D0868722
LAB Type	Rural Health Clinic
Facility Name	OCHSNER HEALTH CENTER - CENTRAL
Street	1221 24TH AVE
City	MERIDIAN
State	MS
ZIP	39301
Phone	601 486-4210
CertificateType	4
CertificateEffectiveDate	1/18/2023
CertificateExpirationDate	1/17/2025
FacilityType	Waiver

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