25D1068392 CLIA NUMBER - COMPLETE CARE RURAL HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 25D1068392
  • Facility Name: COMPLETE CARE RURAL HEALTH CLINIC
  • Facility Address: 1911 MISSION 66 STE B
    VICKSBURG, MS
    ZIP 39180
  • Facility Phone: 601 665-4162
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRIS J. WATKINS
  • NPI Number: 1669835310
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D1068392
LAB Type Physician Office
Facility Name COMPLETE CARE RURAL HEALTH CLINIC
Street 1911 MISSION 66 STE B
City VICKSBURG
State MS
ZIP 39180
Phone 601 665-4162
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/9/2025
Certificate Expiration Date 5/8/2027
Facility Type Physician Office
Lab Director CHRIS J. WATKINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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