25D1000486 CLIA NUMBER - SELECT SPECIALTY HOSPITAL JACKSON INC

Laboratory Demographics

  • CLIA Code: 25D1000486
  • Facility Name: SELECT SPECIALTY HOSPITAL JACKSON INC
  • Facility Address: 5903 RIDGEWOOD RD
    JACKSON, MS
    ZIP 39211
  • Facility Phone: 601 899-3800
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: GREGORY ODEN
  • NPI Number: 1255330163
  • Taxonomy: 282E00000X - Long Term Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 25D1000486
LAB Type Hospital
Facility Name SELECT SPECIALTY HOSPITAL JACKSON INC
Street 5903 RIDGEWOOD RD
City JACKSON
State MS
ZIP 39211
Phone 601 899-3800
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/31/2024
Certificate Expiration Date 3/30/2026
Facility Type Hospital
Lab Director GREGORY ODEN

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