25D2118669 CLIA NUMBER - LAUREL FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 25D2118669
  • Facility Name: LAUREL FAMILY CLINIC
  • Facility Address: 1440 JEFFERSON STREET
    LAUREL, MS
    ZIP 39440
  • Facility Phone: (601) 428-0577
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN HASSELL
  • NPI Number: 1801835087
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2118669
LAB Type Physician Office
Facility Name LAUREL FAMILY CLINIC
Street 1440 JEFFERSON STREET
City LAUREL
State MS
ZIP 39440
Phone 6014280577
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Physician Office
Lab Director JOHN HASSELL

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This page was last updated on: 5/18/2026