25D1079573 CLIA NUMBER - SOUTH CENTRAL REGIONAL MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 25D1079573
  • Facility Name: SOUTH CENTRAL REGIONAL MEDICAL CENTER
  • Facility Address: 1220 JEFFERSON STREET
    LAUREL, MS
    ZIP 39441
  • Facility Phone: 601 426-4700
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: DR. WILLIS M. HORNE
  • NPI Number: 1972888659
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1079573
LAB Type Hospital
Facility Name SOUTH CENTRAL REGIONAL MEDICAL CENTER
Street 1220 JEFFERSON STREET
City LAUREL
State MS
ZIP 39441
Phone 601 426-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Hospital
Lab Director DR. WILLIS M. HORNE

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