25D2190227 CLIA NUMBER - NOXUBEE COUNTY NURSING HOME

Laboratory Demographics

  • CLIA Code: 25D2190227
  • Facility Name: NOXUBEE COUNTY NURSING HOME
  • Facility Address: 78 HOSPITAL RD
    MACON, MS
    ZIP 39341
  • Facility Phone: 662 726-2097
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH A. SMITH
  • NPI Number: 1699764159
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2190227
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NOXUBEE COUNTY NURSING HOME
Street 78 HOSPITAL RD
City MACON
State MS
ZIP 39341
Phone 662 726-2097
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ELIZABETH A. SMITH

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