25D2164632 CLIA NUMBER - ALCOHOL SERVICES CENTER

Laboratory Demographics

  • CLIA Code: 25D2164632
  • Facility Name: ALCOHOL SERVICES CENTER
  • Facility Address: 950 N WEST STREET
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 948-6220
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: SHEBA L. BORDEN
  • NPI Number: 1518206440
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2164632
LAB Type Comp. Outpatient Rehab Facility
Facility Name ALCOHOL SERVICES CENTER
Street 950 N WEST STREET
City JACKSON
State MS
ZIP 39202
Phone 601 948-6220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2025
Certificate Expiration Date 4/9/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director SHEBA L. BORDEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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