25D1002137 CLIA NUMBER - DUGAN MEMORIAL HOME

Laboratory Demographics

  • CLIA Code: 25D1002137
  • Facility Name: DUGAN MEMORIAL HOME
  • Facility Address: 26894 EAST MAIN STREET
    WEST POINT, MS
    ZIP 39773
  • Facility Phone: 662 494-3640
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MS. JILL R. SHURDEN
  • NPI Number: 1336136241
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D1002137
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DUGAN MEMORIAL HOME
Street 26894 EAST MAIN STREET
City WEST POINT
State MS
ZIP 39773
Phone 662 494-3640
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MS. JILL R. SHURDEN

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