25D2228976 CLIA NUMBER - MAGNOLIA GARDENS ASSISTED LIVING OF LAUREL

Laboratory Demographics

  • CLIA Code: 25D2228976
  • Facility Name: MAGNOLIA GARDENS ASSISTED LIVING OF LAUREL
  • Facility Address: 616 E 19TH ST
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 518-0597
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBORAH D. STEVERSON
  • NPI Number: 1053913442
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2228976
LAB Type Assisted Living Facility
Facility Name MAGNOLIA GARDENS ASSISTED LIVING OF LAUREL
Street 616 E 19TH ST
City LAUREL
State MS
ZIP 39440
Phone 601 518-0597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Assisted Living Facility
Lab Director DEBORAH D. STEVERSON

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