25D0317583 CLIA NUMBER - ST CATHERINE'S VILLAGE

Laboratory Demographics

  • CLIA Code: 25D0317583
  • Facility Name: ST CATHERINE'S VILLAGE
  • Facility Address: 200 DOMINICAN DRIVE
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 200-6757
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RANDALL S. SMITH
  • NPI Number: 1053834747
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0317583
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ST CATHERINE'S VILLAGE
Street 200 DOMINICAN DRIVE
City MADISON
State MS
ZIP 39110
Phone 601 200-6757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/22/2025
Certificate Expiration Date 7/21/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RANDALL S. SMITH

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