25D2194323 CLIA NUMBER - BUCKMAN ENRICHMENT HOUSE

Laboratory Demographics

  • CLIA Code: 25D2194323
  • Facility Name: BUCKMAN ENRICHMENT HOUSE
  • Facility Address: 102 ENRICHMENT COVE
    SENATOBIA, MS
    ZIP 38668
  • Facility Phone: 662 562-0100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL B. BAGWELL
  • NPI Number: 1942636998
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2194323
LAB Type Assisted Living Facility
Facility Name BUCKMAN ENRICHMENT HOUSE
Street 102 ENRICHMENT COVE
City SENATOBIA
State MS
ZIP 38668
Phone 662 562-0100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Assisted Living Facility
Lab Director DR. MICHAEL B. BAGWELL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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