25D0991131 CLIA NUMBER - G A CARMICHAEL FAMILY HEALTH CENTER DBA YAZOO CITY HIGH SCHOOL

Laboratory Demographics

CLIA Number: 25D0991131

Facility Name: G A CARMICHAEL FAMILY HEALTH CENTER DBA YAZOO CITY HIGH SCHOOL

Facility Address:
1825 MARTIN L KING DRIVE
YAZOO CITY, MS
ZIP 39194
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Facility Phone Number: 662 746-1514

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1932266855

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D0991131
LAB Type	School/Student Health Service
Facility Name	G A CARMICHAEL FAMILY HEALTH CENTER DBA YAZOO CITY HIGH SCHOOL
Street	1825 MARTIN L KING DRIVE
City	YAZOO CITY
State	MS
ZIP	39194
Phone	662 746-1514
CertificateType	3
CertificateEffectiveDate	9/12/2023
CertificateExpirationDate	9/11/2025
FacilityType	PPMP

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