25D1047019 CLIA NUMBER - MID-DELTA HOSPICE INC DBA BRISTOL HOSPICE-BELZONI

Laboratory Demographics

  • CLIA Code: 25D1047019
  • Facility Name: MID-DELTA HOSPICE INC DBA BRISTOL HOSPICE-BELZONI
  • Facility Address: 405 N HAYDEN ST
    BELZONI, MS
    ZIP 39038
  • Facility Phone: 662 399-2861
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAMELA BROWN
  • NPI Number: 1134182793
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1047019
LAB Type Hospice
Facility Name MID-DELTA HOSPICE INC DBA BRISTOL HOSPICE-BELZONI
Street 405 N HAYDEN ST
City BELZONI
State MS
ZIP 39038
Phone 662 399-2861
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2023
Certificate Expiration Date 10/24/2025
Facility Type Hospice
Lab Director PAMELA BROWN

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