25D0318851 CLIA NUMBER - PINE VIEW HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 25D0318851
  • Facility Name: PINE VIEW HEALTH AND REHABILITATION CENTER
  • Facility Address: 1304 WALNUT ST
    WAYNESBORO, MS
    ZIP 39367
  • Facility Phone: 601 735-9025
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: RAYMOND BURGETT
  • NPI Number: 1982864708
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0318851
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE VIEW HEALTH AND REHABILITATION CENTER
Street 1304 WALNUT ST
City WAYNESBORO
State MS
ZIP 39367
Phone 601 735-9025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director RAYMOND BURGETT

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