25D2275569 CLIA NUMBER - ONSITE HOUSE CALL CLINIC

Laboratory Demographics

  • CLIA Code: 25D2275569
  • Facility Name: ONSITE HOUSE CALL CLINIC
  • Facility Address: 40114 GRUBB SPRINGS RD
    HAMILTON, MS
    ZIP 39746
  • Facility Phone: 662 356-1511
  • Facility Type: Other - HOUSE CALLS-TEMP TESTING
  • Facility Type: Waiver
  • Lab Director: HEATHER L. HOLLOWAY
  • NPI Number: 1922713544
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2275569
LAB Type Other - HOUSE CALLS-TEMP TESTING
Facility Name ONSITE HOUSE CALL CLINIC
Street 40114 GRUBB SPRINGS RD
City HAMILTON
State MS
ZIP 39746
Phone 662 356-1511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Other - HOUSE CALLS-TEMP TESTING
Lab Director HEATHER L. HOLLOWAY

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