25D2190852 CLIA NUMBER - ADVOCATE HEALTH LAB LLC

Laboratory Demographics

  • CLIA Code: 25D2190852
  • Facility Name: ADVOCATE HEALTH LAB LLC
  • Facility Address: 1902 FRONT ST STE 20
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 769 218-8891
  • Facility Type: Other - TEMPORARY TESTING SITES
  • Facility Type: Waiver
  • Lab Director: NIVA ALEXANDER
  • NPI Number: 1093317885
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2190852
LAB Type Other - TEMPORARY TESTING SITES
Facility Name ADVOCATE HEALTH LAB LLC
Street 1902 FRONT ST STE 20
City MERIDIAN
State MS
ZIP 39301
Phone 769 218-8891
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - TEMPORARY TESTING SITES
Lab Director NIVA ALEXANDER

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