25D2002403 CLIA NUMBER - SOUTH CENTRAL FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 25D2002403
  • Facility Name: SOUTH CENTRAL FAMILY MEDICINE
  • Facility Address: 1430 JEFFERSON ST
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 425-2273
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KENNETH B. CAIN
  • NPI Number: 1669609111
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2002403
LAB Type Rural Health Clinic
Facility Name SOUTH CENTRAL FAMILY MEDICINE
Street 1430 JEFFERSON ST
City LAUREL
State MS
ZIP 39440
Phone 601 425-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Rural Health Clinic
Lab Director KENNETH B. CAIN

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