25D2273784 CLIA NUMBER - IMPECCABLE PREHIRE AGENCY

Laboratory Demographics

  • CLIA Code: 25D2273784
  • Facility Name: IMPECCABLE PREHIRE AGENCY
  • Facility Address: 4780 I-55 N STE 100
    JACKSON, MS
    ZIP 39211
  • Facility Phone: 334 798-9943
  • Facility Type: Other - DIAGNOSTIC LAB
  • Facility Type: Waiver
  • Lab Director: SHAMETRICE S. BARNETT
  • NPI Number: 1053090696
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2273784
LAB Type Other - DIAGNOSTIC LAB
Facility Name IMPECCABLE PREHIRE AGENCY
Street 4780 I-55 N STE 100
City JACKSON
State MS
ZIP 39211
Phone 334 798-9943
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Other - DIAGNOSTIC LAB
Lab Director SHAMETRICE S. BARNETT

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