25D2195229 CLIA NUMBER - LAMAR COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 25D2195229
  • Facility Name: LAMAR COUNTY DETENTION CENTER
  • Facility Address: 205 MAIN STREET, SUITE B
    PURVIS, MS
    ZIP 39475
  • Facility Phone: 601 794-3570
  • Facility Type: Prison
  • Facility Type: Waiver
  • Lab Director: MARK S. STOCKSTILL
  • NPI Number: 1609274679
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2195229
LAB Type Prison
Facility Name LAMAR COUNTY DETENTION CENTER
Street 205 MAIN STREET, SUITE B
City PURVIS
State MS
ZIP 39475
Phone 601 794-3570
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Prison
Lab Director MARK S. STOCKSTILL

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