25D2171531 CLIA NUMBER - DELTA HEALTH CENTER MOORHEAD CENTRAL SCHOOL

Laboratory Demographics

  • CLIA Code: 25D2171531
  • Facility Name: DELTA HEALTH CENTER MOORHEAD CENTRAL SCHOOL
  • Facility Address: 506 WASHINGTON AVENUE
    MOORHEAD, MS
    ZIP 38761
  • Facility Phone: 662 246-5680
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. MARKETTA BLUE
  • NPI Number: 1285280180
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2171531
LAB Type Federally Qualified Health Center
Facility Name DELTA HEALTH CENTER MOORHEAD CENTRAL SCHOOL
Street 506 WASHINGTON AVENUE
City MOORHEAD
State MS
ZIP 38761
Phone 662 246-5680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2023
Certificate Expiration Date 9/2/2025
Facility Type Federally Qualified Health Center
Lab Director DR. MARKETTA BLUE

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This page was last updated on: 6/4/2025