25D0960045 CLIA NUMBER - MILLCREEK REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 25D0960045
  • Facility Name: MILLCREEK REHABILITATION CENTER
  • Facility Address: 900 FIRST AVE NE
    MAGEE, MS
    ZIP 39111
  • Facility Phone: 601 849-4221
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: WD HEATH
  • NPI Number: 1487762076
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D0960045
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MILLCREEK REHABILITATION CENTER
Street 900 FIRST AVE NE
City MAGEE
State MS
ZIP 39111
Phone 601 849-4221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director WD HEATH

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