25D2152979 CLIA NUMBER - OPEN ARMS CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 25D2152979
  • Facility Name: OPEN ARMS CHILDREN'S CLINIC
  • Facility Address: 809 N JACKSON ST STE C
    CRYSTAL SPRINGS, MS
    ZIP 39059
  • Facility Phone: 601 308-5253
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. MARTHA A. MCGREW
  • NPI Number: 1689144792
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2152979
LAB Type Practitioner Other
Facility Name OPEN ARMS CHILDREN'S CLINIC
Street 809 N JACKSON ST STE C
City CRYSTAL SPRINGS
State MS
ZIP 39059
Phone 601 308-5253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Practitioner Other
Lab Director MS. MARTHA A. MCGREW

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