25D2125436 CLIA NUMBER - AARON E HENRY COAHOMA COUNTY SCHOOL BASE

Laboratory Demographics

  • CLIA Code: 25D2125436
  • Facility Name: AARON E HENRY COAHOMA COUNTY SCHOOL BASE
  • Facility Address: 1535 LEE DR
    CLARKSDALE, MS
    ZIP 38614
  • Facility Phone: 662 624-2504
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: WILLIAM L. BOOKER
  • NPI Number: 1841616265
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2125436
LAB Type School/Student Health Service
Facility Name AARON E HENRY COAHOMA COUNTY SCHOOL BASE
Street 1535 LEE DR
City CLARKSDALE
State MS
ZIP 38614
Phone 662 624-2504
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2025
Certificate Expiration Date 2/6/2027
Facility Type School/Student Health Service
Lab Director WILLIAM L. BOOKER

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