25D1017682 CLIA NUMBER - G A CARMICHAEL FAMILY HEALTH

Laboratory Demographics

CLIA Number: 25D1017682

Facility Name: G A CARMICHAEL FAMILY HEALTH

Facility Address:
6789 HIGHWAY 49 FRONTAGE ROAD
YAZOO CITY, MS
ZIP 39194
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Facility Phone Number: 662 746-6200

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1548327463

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 25D1017682
LAB Type School/Student Health Service
Facility Name G A CARMICHAEL FAMILY HEALTH
Street 6789 HIGHWAY 49 FRONTAGE ROAD
City YAZOO CITY
State MS
ZIP 39194
Phone 662 746-6200
CertificateType 3
CertificateEffectiveDate 10/1/2023
CertificateExpirationDate 9/30/2025
FacilityType PPMP

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