25D1037918 CLIA NUMBER - HOMECARE HOSPICE, LLC,

Laboratory Demographics

  • CLIA Code: 25D1037918
  • Facility Name: HOMECARE HOSPICE, LLC,
  • Facility Address: 13 NORTHTOWN DR STE 130
    JACKSON, MS
    ZIP 39211
  • Facility Phone: 769 257-6347
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATIE N. SANDERS
  • NPI Number: 1326118522
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1037918
LAB Type Hospice
Facility Name HOMECARE HOSPICE, LLC,
Street 13 NORTHTOWN DR STE 130
City JACKSON
State MS
ZIP 39211
Phone 769 257-6347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Hospice
Lab Director KATIE N. SANDERS

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