25D2022569 CLIA NUMBER - SCHOOL BASED CLINIC ADAMS

Laboratory Demographics

  • CLIA Code: 25D2022569
  • Facility Name: SCHOOL BASED CLINIC ADAMS
  • Facility Address: 101 COTTAGE HOME DRIVE
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 786-3475
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: PRISCILLA JACKSON
  • NPI Number: 1295037372
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2022569
LAB Type School/Student Health Service
Facility Name SCHOOL BASED CLINIC ADAMS
Street 101 COTTAGE HOME DRIVE
City NATCHEZ
State MS
ZIP 39120
Phone 601 786-3475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2025
Certificate Expiration Date 4/5/2027
Facility Type School/Student Health Service
Lab Director PRISCILLA JACKSON

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