25D2265198 CLIA NUMBER - FORREST GENERAL HOME CARE OF MARION GENERAL

Laboratory Demographics

  • CLIA Code: 25D2265198
  • Facility Name: FORREST GENERAL HOME CARE OF MARION GENERAL
  • Facility Address: 912 SUMRALL RD
    COLUMBIA, MS
    ZIP 39429
  • Facility Phone: 601 740-2201
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LESLIE P. MASTERS
  • NPI Number: 1417229055
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 25D2265198
LAB Type Home Health Agency
Facility Name FORREST GENERAL HOME CARE OF MARION GENERAL
Street 912 SUMRALL RD
City COLUMBIA
State MS
ZIP 39429
Phone 601 740-2201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Home Health Agency
Lab Director LESLIE P. MASTERS

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