25D0672001 CLIA NUMBER - BILLDORA SENIOR CARE

Laboratory Demographics

  • CLIA Code: 25D0672001
  • Facility Name: BILLDORA SENIOR CARE
  • Facility Address: 314 ENOCH STREET
    TYLERTOWN, MS
    ZIP 39667
  • Facility Phone: 601 876-2173
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LUCIOUS M. LAMPTON
  • NPI Number: 1013109479
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0672001
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BILLDORA SENIOR CARE
Street 314 ENOCH STREET
City TYLERTOWN
State MS
ZIP 39667
Phone 601 876-2173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2024
Certificate Expiration Date 4/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LUCIOUS M. LAMPTON

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