25D0995019 CLIA NUMBER - JACKSON FREE CLINIC FOR THE HOMELESS

Laboratory Demographics

  • CLIA Code: 25D0995019
  • Facility Name: JACKSON FREE CLINIC FOR THE HOMELESS
  • Facility Address: 925 MARTIN LUTHER KING JR DRIVE
    JACKSON, MS
    ZIP 39203
  • Facility Phone: 601 355-5161
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. JAMES A. CLOY
  • NPI Number: 1851068324
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 25D0995019
LAB Type Community Clinic
Facility Name JACKSON FREE CLINIC FOR THE HOMELESS
Street 925 MARTIN LUTHER KING JR DRIVE
City JACKSON
State MS
ZIP 39203
Phone 601 355-5161
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Community Clinic
Lab Director DR. JAMES A. CLOY

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