25D0884433 CLIA NUMBER - JAQUITH NURSING HOME JAQUITH INN

Laboratory Demographics

  • CLIA Code: 25D0884433
  • Facility Name: JAQUITH NURSING HOME JAQUITH INN
  • Facility Address: 3550 HIGHWAY 468 W BLDG 78
    WHITFIELD, MS
    ZIP 39193
  • Facility Phone: 601 351-8015
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LEE VARNER
  • NPI Number: 1508954082
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0884433
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JAQUITH NURSING HOME JAQUITH INN
Street 3550 HIGHWAY 468 W BLDG 78
City WHITFIELD
State MS
ZIP 39193
Phone 601 351-8015
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LEE VARNER

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