25D2140994 CLIA NUMBER - JASPER COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 25D2140994
  • Facility Name: JASPER COUNTY NURSING HOME
  • Facility Address: 15 SOUTH 6TH STREET
    BAY SPRINGS, MS
    ZIP 39422
  • Facility Phone: 601 764-2101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CYNTHIA M. EUBANKS
  • NPI Number: 1992804512
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2140994
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JASPER COUNTY NURSING HOME
Street 15 SOUTH 6TH STREET
City BAY SPRINGS
State MS
ZIP 39422
Phone 601 764-2101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CYNTHIA M. EUBANKS

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