25D2106973 CLIA NUMBER - OCHSNER HEALTH CENTER - EC HEALTHNET

Laboratory Demographics

CLIA Number: 25D2106973

Facility Name: OCHSNER HEALTH CENTER - EC HEALTHNET

Facility Address:
905C SOUTH FRONTAGE RD
MERIDIAN, MS
ZIP 39301
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Facility Phone Number: 601 482-4955

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1881059921

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2106973
LAB Type	Rural Health Clinic
Facility Name	OCHSNER HEALTH CENTER - EC HEALTHNET
Street	905C SOUTH FRONTAGE RD
City	MERIDIAN
State	MS
ZIP	39301
Phone	601 482-4955
CertificateType	4
CertificateEffectiveDate	10/21/2023
CertificateExpirationDate	10/20/2025
FacilityType	Waiver

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