25D0922483 CLIA NUMBER - OCHSNER HEALTH CENTER - PHILADELPHIA

Laboratory Demographics

  • CLIA Code: 25D0922483
  • Facility Name: OCHSNER HEALTH CENTER - PHILADELPHIA
  • Facility Address: 1106 CENTRAL DR STE 1
    PHILADELPHIA, MS
    ZIP 39350
  • Facility Phone: 601 656-6921
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JIMMIE D. WATSON
  • NPI Number: 1275873572
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0922483
LAB Type Rural Health Clinic
Facility Name OCHSNER HEALTH CENTER - PHILADELPHIA
Street 1106 CENTRAL DR STE 1
City PHILADELPHIA
State MS
ZIP 39350
Phone 601 656-6921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2025
Certificate Expiration Date 7/25/2027
Facility Type Rural Health Clinic
Lab Director JIMMIE D. WATSON

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