25D2194108 CLIA NUMBER - MV NATCHEZ DBA MAGNOLIA VILLAGE ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 25D2194108
  • Facility Name: MV NATCHEZ DBA MAGNOLIA VILLAGE ASSISTED LIVING
  • Facility Address: 311 HIGHLAND BLVD
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 446-5097
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AUGUST D. MILLER
  • NPI Number: 1740604263
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2194108
LAB Type Assisted Living Facility
Facility Name MV NATCHEZ DBA MAGNOLIA VILLAGE ASSISTED LIVING
Street 311 HIGHLAND BLVD
City NATCHEZ
State MS
ZIP 39120
Phone 601 446-5097
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 AUGUST D. MILLER

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