25D2112306 CLIA NUMBER - JFMC HEIDELBERG

Laboratory Demographics

  • CLIA Code: 25D2112306
  • Facility Name: JFMC HEIDELBERG
  • Facility Address: 1208 ACADEMY DRIVE
    HEIDELBERG, MS
    ZIP 39439
  • Facility Phone: 601 787-4906
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MATTHEW JONES
  • NPI Number: 1083074959
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2112306
LAB Type Physician Office
Facility Name JFMC HEIDELBERG
Street 1208 ACADEMY DRIVE
City HEIDELBERG
State MS
ZIP 39439
Phone 601 787-4906
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director MATTHEW JONES

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