25D2193416 CLIA NUMBER - BOLIVAR MEDICAL CENTER LONG TERM CARE

Laboratory Demographics

  • CLIA Code: 25D2193416
  • Facility Name: BOLIVAR MEDICAL CENTER LONG TERM CARE
  • Facility Address: 901 E SUNFLOWER RD
    CLEVELAND, MS
    ZIP 38732
  • Facility Phone: 662 846-2459
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JESSICA ROBINSON
  • NPI Number: 1316984453
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2193416
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BOLIVAR MEDICAL CENTER LONG TERM CARE
Street 901 E SUNFLOWER RD
City CLEVELAND
State MS
ZIP 38732
Phone 662 846-2459
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JESSICA ROBINSON

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