25D2178057 CLIA NUMBER - RIDGELAND PLACE ASSISTED LIVING AND MEMORY CARE

Laboratory Demographics

  • CLIA Code: 25D2178057
  • Facility Name: RIDGELAND PLACE ASSISTED LIVING AND MEMORY CARE
  • Facility Address: 410 ORCHARD PARK
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 601 957-0727
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: WINDY WELLS
  • NPI Number: 1720317241
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2178057
LAB Type Assisted Living Facility
Facility Name RIDGELAND PLACE ASSISTED LIVING AND MEMORY CARE
Street 410 ORCHARD PARK
City RIDGELAND
State MS
ZIP 39157
Phone 601 957-0727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Assisted Living Facility
Lab Director WINDY WELLS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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