25D2030791 CLIA NUMBER - OCHSNER HEALTH CENTER - DEKALB

Laboratory Demographics

  • CLIA Code: 25D2030791
  • Facility Name: OCHSNER HEALTH CENTER - DEKALB
  • Facility Address: 30 PONDEROSA AVE
    DE KALB, MS
    ZIP 39328
  • Facility Phone: 601 743-4626
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KATHY LAMOREAUX
  • NPI Number: 1912348616
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2030791
LAB Type Rural Health Clinic
Facility Name OCHSNER HEALTH CENTER - DEKALB
Street 30 PONDEROSA AVE
City DE KALB
State MS
ZIP 39328
Phone 601 743-4626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2023
Certificate Expiration Date 10/30/2025
Facility Type Rural Health Clinic
Lab Director KATHY LAMOREAUX

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