25D1047452 CLIA NUMBER - SANCTUARY HOSPICE HOUSE

Laboratory Demographics

  • CLIA Code: 25D1047452
  • Facility Name: SANCTUARY HOSPICE HOUSE
  • Facility Address: 5159 W MAIN ST
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 844-2111
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA POWERS
  • NPI Number: 1659392645
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1047452
LAB Type Hospice
Facility Name SANCTUARY HOSPICE HOUSE
Street 5159 W MAIN ST
City TUPELO
State MS
ZIP 38801
Phone 662 844-2111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Hospice
Lab Director LISA POWERS

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