25D2283273 CLIA NUMBER - TATE COUNTY HOSPITAL

Laboratory Demographics

  • CLIA Code: 25D2283273
  • Facility Name: TATE COUNTY HOSPITAL
  • Facility Address: 401 GETWELL DR - CLINIC STE
    SENATOBIA, MS
    ZIP 38668
  • Facility Phone: 662 612-0311
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSHUA HAMMONS
  • NPI Number: 1235833997
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 25D2283273
LAB Type Physician Office
Facility Name TATE COUNTY HOSPITAL
Street 401 GETWELL DR - CLINIC STE
City SENATOBIA
State MS
ZIP 38668
Phone 662 612-0311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Physician Office
Lab Director JOSHUA HAMMONS

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