25D0932806 CLIA NUMBER - MARSHALL COUNTY CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 25D0932806
  • Facility Name: MARSHALL COUNTY CORRECTIONAL FACILITY
  • Facility Address: 833 WEST ST
    HOLLY SPRINGS, MS
    ZIP 38635
  • Facility Phone: 601 252-7111
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: LASHAWNDA PETTIS
  • NPI Number: 1588103246
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D0932806
LAB Type Prison
Facility Name MARSHALL COUNTY CORRECTIONAL FACILITY
Street 833 WEST ST
City HOLLY SPRINGS
State MS
ZIP 38635
Phone 601 252-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Prison
Lab Director LASHAWNDA PETTIS

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