25D2100639 CLIA NUMBER - AMITE COUNTY MEDICAL SERV INC DBA PIKE COUNTY MED

Laboratory Demographics

  • CLIA Code: 25D2100639
  • Facility Name: AMITE COUNTY MEDICAL SERV INC DBA PIKE COUNTY MED
  • Facility Address: 303 LLEWELLYN AVE
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 249-3541
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. RASHEEDA HALL
  • NPI Number: 1609242056
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2100639
LAB Type Federally Qualified Health Center
Facility Name AMITE COUNTY MEDICAL SERV INC DBA PIKE COUNTY MED
Street 303 LLEWELLYN AVE
City MCCOMB
State MS
ZIP 39648
Phone 601 249-3541
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Federally Qualified Health Center
Lab Director DR. RASHEEDA HALL

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