25D2262883 CLIA NUMBER - SOUTHERN HEALTH ALLIANCE

Laboratory Demographics

  • CLIA Code: 25D2262883
  • Facility Name: SOUTHERN HEALTH ALLIANCE
  • Facility Address: 5252 BROOKVIEW DR
    BYRAM, MS
    ZIP 39272
  • Facility Phone: 662 571-3830
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: TAMIKA CURTIS-HOLLOWAY
  • NPI Number: 1891356945
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 25D2262883
LAB Type Health Fair
Facility Name SOUTHERN HEALTH ALLIANCE
Street 5252 BROOKVIEW DR
City BYRAM
State MS
ZIP 39272
Phone 662 571-3830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Health Fair
Lab Director TAMIKA CURTIS-HOLLOWAY

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