25D2121442 CLIA NUMBER - CLEVELAND SCHOOL DISTRICT

Laboratory Demographics

  • CLIA Code: 25D2121442
  • Facility Name: CLEVELAND SCHOOL DISTRICT
  • Facility Address: 715 S MLK DRIVE
    CLEVELAND, MS
    ZIP 38732
  • Facility Phone: 662 843-3529
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: AMANDA C. WILBURN
  • NPI Number: 1497053904
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2121442
LAB Type School/Student Health Service
Facility Name CLEVELAND SCHOOL DISTRICT
Street 715 S MLK DRIVE
City CLEVELAND
State MS
ZIP 38732
Phone 662 843-3529
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type School/Student Health Service
Lab Director AMANDA C. WILBURN

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