25D2056067 CLIA NUMBER - OAKLAND MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 25D2056067
  • Facility Name: OAKLAND MEDICAL CLINIC
  • Facility Address: 14101 HICKORY STREET
    OAKLAND, MS
    ZIP 38948
  • Facility Phone: 662 623-7319
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: GEORGE ABRAHAM
  • NPI Number: 1942547161
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2056067
LAB Type Rural Health Clinic
Facility Name OAKLAND MEDICAL CLINIC
Street 14101 HICKORY STREET
City OAKLAND
State MS
ZIP 38948
Phone 662 623-7319
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2025
Certificate Expiration Date 3/20/2027
Facility Type Rural Health Clinic
Lab Director GEORGE ABRAHAM

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