25D0686646 CLIA NUMBER - MISSISSIPPI CARE CENTER OF DEKALB LLC

Laboratory Demographics

  • CLIA Code: 25D0686646
  • Facility Name: MISSISSIPPI CARE CENTER OF DEKALB LLC
  • Facility Address: WILLOW AVENUE PO BOX 577
    DE KALB, MS
    ZIP 39328
  • Facility Phone: 601 743-5888
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SHERRY DARNELL
  • NPI Number: 1609866235
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0686646
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MISSISSIPPI CARE CENTER OF DEKALB LLC
Street WILLOW AVENUE PO BOX 577
City DE KALB
State MS
ZIP 39328
Phone 601 743-5888
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 SHERRY DARNELL

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