25D2208906 CLIA NUMBER - WILLIAM CAREY STUDENT HEALTH

Laboratory Demographics

  • CLIA Code: 25D2208906
  • Facility Name: WILLIAM CAREY STUDENT HEALTH
  • Facility Address: 710 WILLIAM CAREY PARKWAY CRAWFORD HALL
    HATTIESBURG, MS
    ZIP 39401
  • Facility Phone: 601 264-6000
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: DR. JESSICA TULLOS
  • NPI Number: 1235601907
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 25D2208906
LAB Type School/Student Health Service
Facility Name WILLIAM CAREY STUDENT HEALTH
Street 710 WILLIAM CAREY PARKWAY CRAWFORD HALL
City HATTIESBURG
State MS
ZIP 39401
Phone 601 264-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type School/Student Health Service
Lab Director DR. JESSICA TULLOS

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