25D0672421 CLIA NUMBER - COASTAL HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 25D0672421
  • Facility Name: COASTAL HEALTH AND REHABILITATION CENTER
  • Facility Address: 1530 BROAD AVENUE
    GULFPORT, MS
    ZIP 39501
  • Facility Phone: 228 864-6544
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DENNIS C. BARNETT
  • NPI Number: 1720248909
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0672421
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name COASTAL HEALTH AND REHABILITATION CENTER
Street 1530 BROAD AVENUE
City GULFPORT
State MS
ZIP 39501
Phone 228 864-6544
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 DENNIS C. BARNETT

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