25D2193926 CLIA NUMBER - PLATINUM PLUS CARE LLC

Laboratory Demographics

  • CLIA Code: 25D2193926
  • Facility Name: PLATINUM PLUS CARE LLC
  • Facility Address: 617 HWY 82 W
    INDIANOLA, MS
    ZIP 38751
  • Facility Phone: 662 445-2600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MAPLE CAMPBELL
  • NPI Number: 1285179887
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2193926
LAB Type Assisted Living Facility
Facility Name PLATINUM PLUS CARE LLC
Street 617 HWY 82 W
City INDIANOLA
State MS
ZIP 38751
Phone 662 445-2600
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 MAPLE CAMPBELL

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