25D2050092 CLIA NUMBER - AIDS HEALTHCARE FOUNDATION

Laboratory Demographics

  • CLIA Code: 25D2050092
  • Facility Name: AIDS HEALTHCARE FOUNDATION
  • Facility Address: 766 LAKELAND DR STE A
    JACKSON, MS
    ZIP 39216
  • Facility Phone: 601 368-3440
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MITCHELL WHITEHEAD
  • NPI Number: 1548772593
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2050092
LAB Type Physician Office
Facility Name AIDS HEALTHCARE FOUNDATION
Street 766 LAKELAND DR STE A
City JACKSON
State MS
ZIP 39216
Phone 601 368-3440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Physician Office
Lab Director DR. MITCHELL WHITEHEAD

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