25D2194007 CLIA NUMBER - LIGHTHOUSE

Laboratory Demographics

  • CLIA Code: 25D2194007
  • Facility Name: LIGHTHOUSE
  • Facility Address: 8905 OCEAN SPRINGS RD
    OCEAN SPRINGS, MS
    ZIP 39564
  • Facility Phone: 228 215-0521
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: BETH JOACHIM
  • NPI Number: 1801367883
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 25D2194007
LAB Type Assisted Living Facility
Facility Name LIGHTHOUSE
Street 8905 OCEAN SPRINGS RD
City OCEAN SPRINGS
State MS
ZIP 39564
Phone 228 215-0521
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2024
Certificate Expiration Date 9/27/2026
Facility Type Assisted Living Facility
Lab Director BETH JOACHIM

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