25D2230717 CLIA NUMBER - ST OAKS CARE CENTER

Laboratory Demographics

  • CLIA Code: 25D2230717
  • Facility Name: ST OAKS CARE CENTER
  • Facility Address: 83 WHITE CHAPEL RD
    CARRIERE, MS
    ZIP 39426
  • Facility Phone: 769 926-2596
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: AMANDA A. LADNER
  • NPI Number: 1245820554
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2230717
LAB Type Assisted Living Facility
Facility Name ST OAKS CARE CENTER
Street 83 WHITE CHAPEL RD
City CARRIERE
State MS
ZIP 39426
Phone 769 926-2596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Assisted Living Facility
Lab Director AMANDA A. LADNER

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