25D0973537 CLIA NUMBER - TALLAHATCHIE CO CORRECTIONAL FACILITY

Laboratory Demographics

  • CLIA Code: 25D0973537
  • Facility Name: TALLAHATCHIE CO CORRECTIONAL FACILITY
  • Facility Address: 415 US HWY 49 NORTH
    TUTWILER, MS
    ZIP 38963
  • Facility Phone: 662 345-6567
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: JAMES FAULKNER JR
  • NPI Number: 1609322205
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0973537
LAB Type Prison
Facility Name TALLAHATCHIE CO CORRECTIONAL FACILITY
Street 415 US HWY 49 NORTH
City TUTWILER
State MS
ZIP 38963
Phone 662 345-6567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2024
Certificate Expiration Date 5/8/2026
Facility Type Prison
Lab Director JAMES FAULKNER JR

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