25D1071024 CLIA NUMBER - GREENBRIAR NURSING CENTER

Laboratory Demographics

  • CLIA Code: 25D1071024
  • Facility Name: GREENBRIAR NURSING CENTER
  • Facility Address: 4347 W GAY RD
    DIBERVILLE, MS
    ZIP 39540
  • Facility Phone: 228 392-8484
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AVONNA C. CAIN
  • NPI Number: 1386828713
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D1071024
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREENBRIAR NURSING CENTER
Street 4347 W GAY RD
City DIBERVILLE
State MS
ZIP 39540
Phone 228 392-8484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AVONNA C. CAIN

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