25D0857413 CLIA NUMBER - PLEASANT HILLS NURSING HOME

Laboratory Demographics

  • CLIA Code: 25D0857413
  • Facility Name: PLEASANT HILLS NURSING HOME
  • Facility Address: 1600 RAYMOND ROAD
    JACKSON, MS
    ZIP 39204
  • Facility Phone: 601 371-1700
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELAINE W. LEE
  • NPI Number: 1689664765
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0857413
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PLEASANT HILLS NURSING HOME
Street 1600 RAYMOND ROAD
City JACKSON
State MS
ZIP 39204
Phone 601 371-1700
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 ELAINE W. LEE

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