25D2176569 CLIA NUMBER - HINDS COUNTY

Laboratory Demographics

  • CLIA Code: 25D2176569
  • Facility Name: HINDS COUNTY
  • Facility Address: 1450 COUNTY FARM RD
    RAYMOND, MS
    ZIP 39154
  • Facility Phone: 601 857-4843
  • Facility Type: Other - JAIL
  • Facility Type: Waiver
  • Lab Director: DR. JOHNNY BATES
  • NPI Number: 1346485190
  • Taxonomy: 163WP0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 25D2176569
LAB Type Other - JAIL
Facility Name HINDS COUNTY
Street 1450 COUNTY FARM RD
City RAYMOND
State MS
ZIP 39154
Phone 601 857-4843
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Other - JAIL
Lab Director DR. JOHNNY BATES

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