25D0992843 CLIA NUMBER - AARON E HENRY COMMUNITY HEALTH SERVICE SCHOOL BASE

Laboratory Demographics

  • CLIA Code: 25D0992843
  • Facility Name: AARON E HENRY COMMUNITY HEALTH SERVICE SCHOOL BASE
  • Facility Address: 1100 ROSA FORT DR
    TUNICA, MS
    ZIP 38676
  • Facility Phone: 662 363-3656
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: DR. WILLIAM BOOKER
  • NPI Number: 1609874700
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0992843
LAB Type Community Clinic
Facility Name AARON E HENRY COMMUNITY HEALTH SERVICE SCHOOL BASE
Street 1100 ROSA FORT DR
City TUNICA
State MS
ZIP 38676
Phone 662 363-3656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Community Clinic
Lab Director DR. WILLIAM BOOKER

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