25D0889304 CLIA NUMBER - VINEYARD COURT NURSING CENTER

Laboratory Demographics

  • CLIA Code: 25D0889304
  • Facility Name: VINEYARD COURT NURSING CENTER
  • Facility Address: 2002 5TH ST N
    COLUMBUS, MS
    ZIP 39705
  • Facility Phone: 662 328-1133
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: SCOTTIE BROWN
  • NPI Number: 1891869012
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D0889304
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VINEYARD COURT NURSING CENTER
Street 2002 5TH ST N
City COLUMBUS
State MS
ZIP 39705
Phone 662 328-1133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director SCOTTIE BROWN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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