25D0888265 CLIA NUMBER - LAKEVIEW NURSING CENTER

Laboratory Demographics

  • CLIA Code: 25D0888265
  • Facility Name: LAKEVIEW NURSING CENTER
  • Facility Address: 16411 ROBINSON ROAD
    GULFPORT, MS
    ZIP 39503
  • Facility Phone: 228 831-3001
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CRISPER STANFORD
  • NPI Number: 1720081052
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0888265
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LAKEVIEW NURSING CENTER
Street 16411 ROBINSON ROAD
City GULFPORT
State MS
ZIP 39503
Phone 228 831-3001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CRISPER STANFORD

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