25D0904301 CLIA NUMBER - LEXINGTON MANOR INC

Laboratory Demographics

  • CLIA Code: 25D0904301
  • Facility Name: LEXINGTON MANOR INC
  • Facility Address: 56 ROCKPORT ROAD
    LEXINGTON, MS
    ZIP 39095
  • Facility Phone: 601 864-3021
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA WILLIAMSON
  • NPI Number: 1669023586
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 25D0904301
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEXINGTON MANOR INC
Street 56 ROCKPORT ROAD
City LEXINGTON
State MS
ZIP 39095
Phone 601 864-3021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA WILLIAMSON

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