25D2072433 CLIA NUMBER - PETAL SCHOOL CLINIC

Laboratory Demographics

CLIA Number: 25D2072433

Facility Name: PETAL SCHOOL CLINIC

Facility Address:
36 PANTHER STADIUM DRIVE
PETAL, MS
ZIP 39465
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Facility Phone Number: 601 450-1729

Facility Type: School/Student Health Service

Certificate Type: Microscopy

NPI Number: 1356563605

Taxonomy: 163W00000X - Registered Nurse
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

CLIA Record

Field Name Field Value
CLIA Number 25D2072433
LAB Type School/Student Health Service
Facility Name PETAL SCHOOL CLINIC
Street 36 PANTHER STADIUM DRIVE
City PETAL
State MS
ZIP 39465
Phone 601 450-1729
CertificateType 3
CertificateEffectiveDate 1/30/2024
CertificateExpirationDate 1/29/2026
FacilityType PPMP

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