25D2224034 CLIA NUMBER - WEST BOLIVAR HIGH SCHOOL

Laboratory Demographics

  • CLIA Code: 25D2224034
  • Facility Name: WEST BOLIVAR HIGH SCHOOL
  • Facility Address: 1212 SOUTH MAIN ST
    ROSEDALE, MS
    ZIP 38769
  • Facility Phone: 662 719-3743
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: KATHY A. JONES
  • NPI Number: 1154651040
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 25D2224034
LAB Type School/Student Health Service
Facility Name WEST BOLIVAR HIGH SCHOOL
Street 1212 SOUTH MAIN ST
City ROSEDALE
State MS
ZIP 38769
Phone 662 719-3743
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type School/Student Health Service
Lab Director KATHY A. JONES

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