25D2052099 CLIA NUMBER - JACKSON-HINDS CENTRAL MS MEDICAL CENTER PEARL SITE

Laboratory Demographics

  • CLIA Code: 25D2052099
  • Facility Name: JACKSON-HINDS CENTRAL MS MEDICAL CENTER PEARL SITE
  • Facility Address: 2649 HWY 80 WEST SUITE 301B
    JACKSON, MS
    ZIP 39204
  • Facility Phone: 601 362-5321
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: ROSIE WALKER-MCNAIR
  • NPI Number: 1730111022
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2052099
LAB Type Federally Qualified Health Center
Facility Name JACKSON-HINDS CENTRAL MS MEDICAL CENTER PEARL SITE
Street 2649 HWY 80 WEST SUITE 301B
City JACKSON
State MS
ZIP 39204
Phone 601 362-5321
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/4/2025
Certificate Expiration Date 1/3/2027
Facility Type Federally Qualified Health Center
Lab Director ROSIE WALKER-MCNAIR

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