25D2244330 CLIA NUMBER - ONYXCARE HEALTH INC

Laboratory Demographics

  • CLIA Code: 25D2244330
  • Facility Name: ONYXCARE HEALTH INC
  • Facility Address: 405 BRIARWOOD DR STE 108B
    JACKSON, MS
    ZIP 39206
  • Facility Phone: 769 572-2910
  • Facility Type: Other - MASS VACCINATION PROVIDER
  • Facility Type: Waiver
  • Lab Director: ALEX J. BROOKS
  • NPI Number: 1245991165
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2244330
LAB Type Other - MASS VACCINATION PROVIDER
Facility Name ONYXCARE HEALTH INC
Street 405 BRIARWOOD DR STE 108B
City JACKSON
State MS
ZIP 39206
Phone 769 572-2910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Other - MASS VACCINATION PROVIDER
Lab Director ALEX J. BROOKS

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