25D2302828 CLIA NUMBER - GERIATRIC CONNECTIONS

Laboratory Demographics

  • CLIA Code: 25D2302828
  • Facility Name: GERIATRIC CONNECTIONS
  • Facility Address: 230 MAGNOLIA DRIVE
    RALEIGH, MS
    ZIP 39153
  • Facility Phone: 601 374-8145
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEBRA K. DEVELIN
  • NPI Number: 1992183800
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2302828
LAB Type Practitioner Other
Facility Name GERIATRIC CONNECTIONS
Street 230 MAGNOLIA DRIVE
City RALEIGH
State MS
ZIP 39153
Phone 601 374-8145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Practitioner Other
Lab Director DEBRA K. DEVELIN

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