25D2115736 CLIA NUMBER - HINDS COUNTY MENTAL HEALTH COMMISSION DBA HINDS BEHAVIORAL HEALTH SERVICE

Laboratory Demographics

  • CLIA Code: 25D2115736
  • Facility Name: HINDS COUNTY MENTAL HEALTH COMMISSION DBA HINDS BEHAVIORAL HEALTH SERVICE
  • Facility Address: 3450 HWY 80W
    JACKSON, MS
    ZIP 39209
  • Facility Phone: 601 321-2400
  • Facility Type: Other - COMMUNITY MENTAL HLTH CTR
  • Facility Type: Waiver
  • Lab Director: KATHY L. CROCKETT
  • NPI Number: 1205853652
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2115736
LAB Type Other - COMMUNITY MENTAL HLTH CTR
Facility Name HINDS COUNTY MENTAL HEALTH COMMISSION DBA HINDS BEHAVIORAL HEALTH SERVICE
Street 3450 HWY 80W
City JACKSON
State MS
ZIP 39209
Phone 601 321-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Other - COMMUNITY MENTAL HLTH CTR
Lab Director KATHY L. CROCKETT

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