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25D1023129 CLIA NUMBER - METHODIST SPECIALTY CARE CENTER

Laboratory Demographics

CLIA Number: 25D1023129

Facility Name: METHODIST SPECIALTY CARE CENTER

Facility Address:
1 LAYFAIR DRIVE STE 500
FLOWOOD, MS
ZIP 39232
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Facility Phone Number: 601 420-7760

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1245389386

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 25D1023129
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name METHODIST SPECIALTY CARE CENTER
Street 1 LAYFAIR DRIVE STE 500
City FLOWOOD
State MS
ZIP 39232
Phone 601 420-7760
CertificateType 4
CertificateEffectiveDate 3/9/2024
CertificateExpirationDate 3/8/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024