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LANIER HIGH SCHOOL CLINIC
NPI 1326221300
Clinic/Center in Jackson, MS

Active since December 12, 2007CLIA 25D2110261 · Waiver
833 MAPLE ST, JACKSON, MS 39203(601) 209-4456(601) 960-8704 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Lanier High School Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANIER HIGH SCHOOL CLINIC (NPI 1326221300) is a healthcare organization registered as a clinic/center in Jackson, Mississippi and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through March 9, 2028 and lists Tammy D Crocker, Lead Nurse, as its authorized official.

NPPES Registry Identity

NPI1326221300
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJACKSON PUBLIC SCHOOLS LANIER CLINIC
Location Address833 MAPLE STJackson, MS 39203-3844
Mailing Address618 S President StJackson, MS 39201-5601 · (601) 209-4456
Phone(601) 209-4456
Fax(601) 960-8704
Organization SubpartNo
Authorized OfficialTammy D CrockerLead Nurse · (601) 209-4456
Enumeration DateDecember 12, 2007
✔ NPI 1326221300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
833 MAPLE ST, Jackson, MS 39203
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Other Names 1

Doing Business AsLanier High School Clinic

Other Identifiers 1

Medicaid08875851MS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2110261

Lanier High School-Based Clinic · Jackson, MS
Active · expires Mar 9, 2028
CLIA Number25D2110261
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorDr. Rosie Walker-Mcnair
Laboratory Phone(601) 362-5321
Laboratory LocationLanier High School-Based Clinic833 Maple Street, Jackson, MS 39203
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MALL SERVICES, LLC
Clinic/Center
833 MAPLE ST
JACKSON, MS 39203
Hinds County (601) 982-0673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Public Schools Lanier Clinic's NPI number?

The NPI number for Jackson Public Schools Lanier Clinic is 1326221300. It was assigned to this organization in the NPPES registry on December 12, 2007. The provider is doing business as Lanier High School Clinic.

Where is Jackson Public Schools Lanier Clinic located?

Jackson Public Schools Lanier Clinic is located at 833 Maple St, Jackson, MS 39203. The listed phone number is (601) 209-4456.

What is Jackson Public Schools Lanier Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Jackson Public Schools Lanier Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2110261) is associated with this NPI, valid through March 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Jackson Public Schools Lanier Clinic was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.