25D1041621 CLIA NUMBER - MERCY HOSPICE LLC DBA LEGACY HOSPICE OF THE SOUTH

Laboratory Demographics

  • CLIA Code: 25D1041621
  • Facility Name: MERCY HOSPICE LLC DBA LEGACY HOSPICE OF THE SOUTH
  • Facility Address: 1410 WOODED DR
    GRENADA, MS
    ZIP 38901
  • Facility Phone: 662 226-4246
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATIE SANDERS
  • NPI Number: 1518256460
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1041621
LAB Type Hospice
Facility Name MERCY HOSPICE LLC DBA LEGACY HOSPICE OF THE SOUTH
Street 1410 WOODED DR
City GRENADA
State MS
ZIP 38901
Phone 662 226-4246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Hospice
Lab Director KATIE SANDERS

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