25D2194277 CLIA NUMBER - BROOKDALE - BILOXI

Laboratory Demographics

  • CLIA Code: 25D2194277
  • Facility Name: BROOKDALE - BILOXI
  • Facility Address: 2120 ENTERPRISE DR
    BILOXI, MS
    ZIP 39531
  • Facility Phone: 228 388-0946
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STEPHANIE DILL
  • NPI Number: 1285963702
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2194277
LAB Type Assisted Living Facility
Facility Name BROOKDALE - BILOXI
Street 2120 ENTERPRISE DR
City BILOXI
State MS
ZIP 39531
Phone 228 388-0946
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Assisted Living Facility
Lab Director STEPHANIE DILL

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