25D2279108 CLIA NUMBER - CHOCTAW COUNTY SCHOOL DISTRICT

Laboratory Demographics

CLIA Number: 25D2279108

Facility Name: CHOCTAW COUNTY SCHOOL DISTRICT

Facility Address:
19 E MAIN ST
ACKERMAN, MS
ZIP 39735
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Facility Phone Number: 662 285-4022

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1699083618

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	25D2279108
LAB Type	School/Student Health Service
Facility Name	CHOCTAW COUNTY SCHOOL DISTRICT
Street	19 E MAIN ST
City	ACKERMAN
State	MS
ZIP	39735
Phone	662 285-4022
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	3/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024