25D0962403 CLIA NUMBER - OCHSNER HEALTH CENTER - HWY 39

Laboratory Demographics

CLIA Number: 25D0962403

Facility Name: OCHSNER HEALTH CENTER - HWY 39

Facility Address:
4331 HWY 39 N
MERIDIAN, MS
ZIP 39301
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Facility Phone Number: 601 484-6180

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1275879314

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D0962403
LAB Type	Rural Health Clinic
Facility Name	OCHSNER HEALTH CENTER - HWY 39
Street	4331 HWY 39 N
City	MERIDIAN
State	MS
ZIP	39301
Phone	601 484-6180
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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