25D0906423 CLIA NUMBER - TISHOMINGO HEALTH SERVICES INC DBA BELMONT FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 25D0906423
  • Facility Name: TISHOMINGO HEALTH SERVICES INC DBA BELMONT FAMILY CLINIC
  • Facility Address: 26 3RD ST
    BELMONT, MS
    ZIP 38827
  • Facility Phone: 662 454-4520
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JAMIE L. CRUSE
  • NPI Number: 1528424728
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0906423
LAB Type Physician Office
Facility Name TISHOMINGO HEALTH SERVICES INC DBA BELMONT FAMILY CLINIC
Street 26 3RD ST
City BELMONT
State MS
ZIP 38827
Phone 662 454-4520
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Physician Office
Lab Director JAMIE L. CRUSE

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