25D0690441 CLIA NUMBER - 538 MENGE AVE OPERATIONS LLC DBA PASS CHRISTIAN HEALTH & REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 25D0690441
  • Facility Name: 538 MENGE AVE OPERATIONS LLC DBA PASS CHRISTIAN HEALTH & REHABILITATION CENTER
  • Facility Address: 538 MENGE AVE
    PASS CHRISTIAN, MS
    ZIP 39571
  • Facility Phone: 228 452-4344
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BENNETT J. WILLIAMS
  • NPI Number: 1063673820
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0690441
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name 538 MENGE AVE OPERATIONS LLC DBA PASS CHRISTIAN HEALTH & REHABILITATION CENTER
Street 538 MENGE AVE
City PASS CHRISTIAN
State MS
ZIP 39571
Phone 228 452-4344
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 BENNETT J. WILLIAMS

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