25D0674276 CLIA NUMBER - WILKINSON COUNTY NURSING CENTER

Laboratory Demographics

  • CLIA Code: 25D0674276
  • Facility Name: WILKINSON COUNTY NURSING CENTER
  • Facility Address: 116 SOUTH LAFAYETTE ST PO BOX 310
    CENTREVILLE, MS
    ZIP 39631
  • Facility Phone: 601 645-5253
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JUSTIN W. JOHNSON
  • NPI Number: 1548244262
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0674276
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILKINSON COUNTY NURSING CENTER
Street 116 SOUTH LAFAYETTE ST PO BOX 310
City CENTREVILLE
State MS
ZIP 39631
Phone 601 645-5253
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 JUSTIN W. JOHNSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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