25D2294062 CLIA NUMBER - ROSE PERSONAL CARE SERVICES LLC

Laboratory Demographics

  • CLIA Code: 25D2294062
  • Facility Name: ROSE PERSONAL CARE SERVICES LLC
  • Facility Address: 312 2ND ST
    COLUMBIA, MS
    ZIP 39429
  • Facility Phone: 601 441-0956
  • Facility Type: Other - PRIVATE DUTY NSG AGENCY
  • Facility Type: Waiver
  • Lab Director: ROSE THOMPSON
  • NPI Number: 1861094906
  • Taxonomy: 164W00000X - Licensed Practical Nurse

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CLIA Record

Field Name Field Value
CLIA Number 25D2294062
LAB Type Other - PRIVATE DUTY NSG AGENCY
Facility Name ROSE PERSONAL CARE SERVICES LLC
Street 312 2ND ST
City COLUMBIA
State MS
ZIP 39429
Phone 601 441-0956
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Other - PRIVATE DUTY NSG AGENCY
Lab Director ROSE THOMPSON

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