25D2135135 CLIA NUMBER - CARTHAGE SENIOR CARE

Laboratory Demographics

  • CLIA Code: 25D2135135
  • Facility Name: CARTHAGE SENIOR CARE
  • Facility Address: 1065 E FRANKLIN ST
    CARTHAGE, MS
    ZIP 39051
  • Facility Phone: 601 267-1355
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KRISTINA DISMUKE
  • NPI Number: 1457934952
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2135135
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CARTHAGE SENIOR CARE
Street 1065 E FRANKLIN ST
City CARTHAGE
State MS
ZIP 39051
Phone 601 267-1355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KRISTINA DISMUKE

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