25D0651831 CLIA NUMBER - NC LEASING LLC DBA THE NICHOLS CENTER

Laboratory Demographics

  • CLIA Code: 25D0651831
  • Facility Name: NC LEASING LLC DBA THE NICHOLS CENTER
  • Facility Address: 1308 HWY 51 NORTH
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 853-4343
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA WOODARD
  • NPI Number: 1316011513
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0651831
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NC LEASING LLC DBA THE NICHOLS CENTER
Street 1308 HWY 51 NORTH
City MADISON
State MS
ZIP 39110
Phone 601 853-4343
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 LISA WOODARD

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