25D2096424 CLIA NUMBER - EAGLE LABS 1

Laboratory Demographics

  • CLIA Code: 25D2096424
  • Facility Name: EAGLE LABS 1
  • Facility Address: 4 WILLOW POINTE STE 3
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 909-6282
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: ALEXIS C. MCBRAYER
  • NPI Number: 1710367982
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2096424
LAB Type Independent
Facility Name EAGLE LABS 1
Street 4 WILLOW POINTE STE 3
City HATTIESBURG
State MS
ZIP 39402
Phone 601 909-6282
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Independent
Lab Director ALEXIS C. MCBRAYER

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