25D0984523 CLIA NUMBER - PHILLIPS MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 25D0984523
  • Facility Name: PHILLIPS MEDICAL SERVICES
  • Facility Address: 909 WESTLAND SERVICE DRIVE
    JACKSON, MS
    ZIP 39209
  • Facility Phone: 601 648-8501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREA L. PHILLIPS
  • NPI Number: 1174792790
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D0984523
LAB Type Physician Office
Facility Name PHILLIPS MEDICAL SERVICES
Street 909 WESTLAND SERVICE DRIVE
City JACKSON
State MS
ZIP 39209
Phone 601 648-8501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/23/2025
Certificate Expiration Date 3/22/2027
Facility Type Physician Office
Lab Director ANDREA L. PHILLIPS

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