25D2193845 CLIA NUMBER - BROOKSVILLE ASSISTED LIVING HOME INC DBA OAKWOOD MANOR

Laboratory Demographics

  • CLIA Code: 25D2193845
  • Facility Name: BROOKSVILLE ASSISTED LIVING HOME INC DBA OAKWOOD MANOR
  • Facility Address: 55 OAKWOOD DR
    BROOKSVILLE, MS
    ZIP 39739
  • Facility Phone: 662 738-4866
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AARON S. KOEHN
  • NPI Number: 1245801646
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2193845
LAB Type Assisted Living Facility
Facility Name BROOKSVILLE ASSISTED LIVING HOME INC DBA OAKWOOD MANOR
Street 55 OAKWOOD DR
City BROOKSVILLE
State MS
ZIP 39739
Phone 662 738-4866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Assisted Living Facility
Lab Director AARON S. KOEHN

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