25D1049961 CLIA NUMBER - NEWTON COUNTY LTC LLC DBA J G ALEXANDER NURSING CENTER

Laboratory Demographics

  • CLIA Code: 25D1049961
  • Facility Name: NEWTON COUNTY LTC LLC DBA J G ALEXANDER NURSING CENTER
  • Facility Address: 25112 HWY 15
    UNION, MS
    ZIP 39365
  • Facility Phone: 601 774-1505
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN PACE
  • NPI Number: 1982846192
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D1049961
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NEWTON COUNTY LTC LLC DBA J G ALEXANDER NURSING CENTER
Street 25112 HWY 15
City UNION
State MS
ZIP 39365
Phone 601 774-1505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2024
Certificate Expiration Date 1/22/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEPHEN PACE

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