25D2244136 CLIA NUMBER - SINGING RIVER MEDICAL CLIN-MGCCC JACKSON CO CAMPUS

Laboratory Demographics

  • CLIA Code: 25D2244136
  • Facility Name: SINGING RIVER MEDICAL CLIN-MGCCC JACKSON CO CAMPUS
  • Facility Address: 2300 HWY 90
    GAUTIER, MS
    ZIP 39553
  • Facility Phone: (228) 497-7785
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY T. TANNER JR

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2244136
LAB Type Physician Office
Facility Name SINGING RIVER MEDICAL CLIN-MGCCC JACKSON CO CAMPUS
Street 2300 HWY 90
City GAUTIER
State MS
ZIP 39553
Phone 2284977785
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2025
Certificate Expiration Date 11/28/2027
Facility Type Physician Office
Lab Director ANTHONY T. TANNER JR

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026