25D2275831 CLIA NUMBER - VIGILANT HEALTH

Laboratory Demographics

  • CLIA Code: 25D2275831
  • Facility Name: VIGILANT HEALTH
  • Facility Address: 207 W JACKSON ST
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 601 939-9923
  • Facility Type: Health Fair
  • Facility Type: Waiver
  • Lab Director: LORI A. YOUNG
  • NPI Number: 1225571698
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2275831
LAB Type Health Fair
Facility Name VIGILANT HEALTH
Street 207 W JACKSON ST
City RIDGELAND
State MS
ZIP 39157
Phone 601 939-9923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Health Fair
Lab Director LORI A. YOUNG

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