25D2046590 CLIA NUMBER - RANKIN RURAL MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 25D2046590
  • Facility Name: RANKIN RURAL MEDICAL CLINIC
  • Facility Address: 129 CENTER ST STE B
    RICHLAND, MS
    ZIP 39218
  • Facility Phone: 769 233-7141
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL ALBERT
  • NPI Number: 1740555267
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2046590
LAB Type Rural Health Clinic
Facility Name RANKIN RURAL MEDICAL CLINIC
Street 129 CENTER ST STE B
City RICHLAND
State MS
ZIP 39218
Phone 769 233-7141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Rural Health Clinic
Lab Director DR. MICHAEL ALBERT

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