25D0674986 CLIA NUMBER - INDIANOLA REHABILITATION AND HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 25D0674986
  • Facility Name: INDIANOLA REHABILITATION AND HEALTHCARE CENTER
  • Facility Address: 401 US HWY 82 WEST
    INDIANOLA, MS
    ZIP 38751
  • Facility Phone: 662 887-2682
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARION S. DANNA
  • NPI Number: 1295882918
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0674986
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name INDIANOLA REHABILITATION AND HEALTHCARE CENTER
Street 401 US HWY 82 WEST
City INDIANOLA
State MS
ZIP 38751
Phone 662 887-2682
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 MARION S. DANNA

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