25D2315306 CLIA NUMBER - SOUTH CENTRAL REGIONAL MEDICAL CENTER ANATOMIC PATHOLOGY

Laboratory Demographics

  • CLIA Code: 25D2315306
  • Facility Name: SOUTH CENTRAL REGIONAL MEDICAL CENTER ANATOMIC PATHOLOGY
  • Facility Address: 1220 JEFFERSON ST
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 261-2587
  • Facility Type: Other - FROZEN ROOM AND PATHOLOGI
  • Facility Type: Certificate of Compliance
  • Lab Director: MELISSA BRENTS
  • NPI Number: 1275545923
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 25D2315306
LAB Type Other - FROZEN ROOM AND PATHOLOGI
Facility Name SOUTH CENTRAL REGIONAL MEDICAL CENTER ANATOMIC PATHOLOGY
Street 1220 JEFFERSON ST
City LAUREL
State MS
ZIP 39440
Phone 601 261-2587
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/10/2024
Certificate Expiration Date 12/9/2026
Facility Type Other - FROZEN ROOM AND PATHOLOGI
Lab Director MELISSA BRENTS

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