25D1026345 CLIA NUMBER - GILBERT'S HOSPICE CARE LLC DBA GENTIVA

Laboratory Demographics

  • CLIA Code: 25D1026345
  • Facility Name: GILBERT'S HOSPICE CARE LLC DBA GENTIVA
  • Facility Address: 301B WEST COLLEGE ST
    BOONEVILLE, MS
    ZIP 38829
  • Facility Phone: 662 728-7404
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SELECE BEASLEY
  • NPI Number: 1851397921
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1026345
LAB Type Hospice
Facility Name GILBERT'S HOSPICE CARE LLC DBA GENTIVA
Street 301B WEST COLLEGE ST
City BOONEVILLE
State MS
ZIP 38829
Phone 662 728-7404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Hospice
Lab Director SELECE BEASLEY

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