25D2052354 CLIA NUMBER - CHOCTAW MEDICAL CLINIC

Home > CLIA Lookup > 25D2052354

Laboratory Demographics

CLIA Number: 25D2052354

Facility Name: CHOCTAW MEDICAL CLINIC

Facility Address:
8613 MS HWY 12
ACKERMAN, MS
ZIP 39735
Get Directions

Facility Phone Number: 662 285-9460

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1235547878

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2052354
LAB Type	Rural Health Clinic
Facility Name	CHOCTAW MEDICAL CLINIC
Street	8613 MS HWY 12
City	ACKERMAN
State	MS
ZIP	39735
Phone	662 285-9460
CertificateType	3
CertificateEffectiveDate	11/6/2022
CertificateExpirationDate	11/5/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024