25D2083115 CLIA NUMBER - CLAIBORNE COUNTY FAMILY HEALTH CENTER A W WATSON ELEMENTARY

Laboratory Demographics

  • CLIA Code: 25D2083115
  • Facility Name: CLAIBORNE COUNTY FAMILY HEALTH CENTER A W WATSON ELEMENTARY
  • Facility Address: A W WATSON ELEMENTARY SCHOOL-SCHOOL BASED CLINIC 880 ANTHONY STREET
    PORT GIBSON, MS
    ZIP 39150
  • Facility Phone: 601 437-5585
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MHEJA M. WILLIAMS
  • NPI Number: 1225012941
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2083115
LAB Type School/Student Health Service
Facility Name CLAIBORNE COUNTY FAMILY HEALTH CENTER A W WATSON ELEMENTARY
Street A W WATSON ELEMENTARY SCHOOL-SCHOOL BASED CLINIC 880 ANTHONY STREET
City PORT GIBSON
State MS
ZIP 39150
Phone 601 437-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2024
Certificate Expiration Date 8/27/2026
Facility Type School/Student Health Service
Lab Director MHEJA M. WILLIAMS

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