25D0670654 CLIA NUMBER - MEADVILLE CONVALESCENT HOME

Laboratory Demographics

  • CLIA Code: 25D0670654
  • Facility Name: MEADVILLE CONVALESCENT HOME
  • Facility Address: 300 HWY 556
    MEADVILLE, MS
    ZIP 39653
  • Facility Phone: 601 384-5861
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAT A. SWILLIE RN
  • NPI Number: 1700872579
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0670654
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MEADVILLE CONVALESCENT HOME
Street 300 HWY 556
City MEADVILLE
State MS
ZIP 39653
Phone 601 384-5861
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 PAT A. SWILLIE RN

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