25D1042522 CLIA NUMBER - ENHABIT HOSPICE OF CENTRAL MISSISSIPPI

Laboratory Demographics

  • CLIA Code: 25D1042522
  • Facility Name: ENHABIT HOSPICE OF CENTRAL MISSISSIPPI
  • Facility Address: 225 KATHERINE DRIVE
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 932-9066
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAKE MONCIVAIS
  • NPI Number: 1851304406
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1042522
LAB Type Hospice
Facility Name ENHABIT HOSPICE OF CENTRAL MISSISSIPPI
Street 225 KATHERINE DRIVE
City FLOWOOD
State MS
ZIP 39232
Phone 601 932-9066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2023
Certificate Expiration Date 6/30/2025
Facility Type Hospice
Lab Director JAKE MONCIVAIS

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This page was last updated on: 6/4/2025