25D2330036 CLIA NUMBER - SOUTH CENTRAL URGENT CARE AND INDUSTRIAL MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 25D2330036
  • Facility Name: SOUTH CENTRAL URGENT CARE AND INDUSTRIAL MEDICINE CLINIC
  • Facility Address: 1515 JEFFERSON STREET
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 426-3421
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: KENNETH B. CAIN
  • NPI Number: 1033903547
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2330036
LAB Type Rural Health Clinic
Facility Name SOUTH CENTRAL URGENT CARE AND INDUSTRIAL MEDICINE CLINIC
Street 1515 JEFFERSON STREET
City LAUREL
State MS
ZIP 39440
Phone 601 426-3421
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2025
Certificate Expiration Date 9/8/2027
Facility Type Rural Health Clinic
Lab Director KENNETH B. CAIN

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