25D1088445 CLIA NUMBER - LONG BEACH HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 25D1088445
  • Facility Name: LONG BEACH HIGH SCHOOL
  • Facility Address: 300 OLD PASS ROAD
    LONG BEACH, MS
    ZIP 39560
  • Facility Phone: 228 863-6945
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: RICHARD B. MCCRARY
  • NPI Number: 1275621369
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1088445
LAB Type School/Student Health Service
Facility Name LONG BEACH HIGH SCHOOL
Street 300 OLD PASS ROAD
City LONG BEACH
State MS
ZIP 39560
Phone 228 863-6945
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type School/Student Health Service
Lab Director RICHARD B. MCCRARY

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