25D0671329 CLIA NUMBER - GOLDEN AGE INC

Laboratory Demographics

  • CLIA Code: 25D0671329
  • Facility Name: GOLDEN AGE INC
  • Facility Address: 2901 HWY 82 EAST
    GREENWOOD, MS
    ZIP 38930
  • Facility Phone: 662 453-6323
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JOHN P. HEY
  • NPI Number: 1720073448
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0671329
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOLDEN AGE INC
Street 2901 HWY 82 EAST
City GREENWOOD
State MS
ZIP 38930
Phone 662 453-6323
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 JOHN P. HEY

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