25D2017114 CLIA NUMBER - SOUTH CENTRAL DERMATOLOGY CLINIC

Laboratory Demographics

  • CLIA Code: 25D2017114
  • Facility Name: SOUTH CENTRAL DERMATOLOGY CLINIC
  • Facility Address: 1410 JEFFERSON ST
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 425-4860
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. AMY D. ADAMS
  • NPI Number: 1073828455
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 25D2017114
LAB Type Physician Office
Facility Name SOUTH CENTRAL DERMATOLOGY CLINIC
Street 1410 JEFFERSON ST
City LAUREL
State MS
ZIP 39440
Phone 601 425-4860
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/30/2025
Certificate Expiration Date 6/29/2027
Facility Type Physician Office
Lab Director DR. AMY D. ADAMS

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