25D2091547 CLIA NUMBER - HOLCOMB CLINIC

Laboratory Demographics

  • CLIA Code: 25D2091547
  • Facility Name: HOLCOMB CLINIC
  • Facility Address: 1301 SUNSET DR STE E
    GRENADA, MS
    ZIP 38901
  • Facility Phone: 662 229-0069
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: KELLIE D. JONES
  • NPI Number: 1932591468
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2091547
LAB Type Community Clinic
Facility Name HOLCOMB CLINIC
Street 1301 SUNSET DR STE E
City GRENADA
State MS
ZIP 38901
Phone 662 229-0069
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/16/2025
Certificate Expiration Date 2/15/2027
Facility Type Community Clinic
Lab Director KELLIE D. JONES

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