25D0320236 CLIA NUMBER - DIVERSICARE OF EUPORA, LLC

Laboratory Demographics

  • CLIA Code: 25D0320236
  • Facility Name: DIVERSICARE OF EUPORA, LLC
  • Facility Address: 156 E WALNUT AVENUE
    EUPORA, MS
    ZIP 39744
  • Facility Phone: 662 258-8293
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: COREY C. MURPHY
  • NPI Number: 1558816546
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0320236
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DIVERSICARE OF EUPORA, LLC
Street 156 E WALNUT AVENUE
City EUPORA
State MS
ZIP 39744
Phone 662 258-8293
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 COREY C. MURPHY

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