25D1056213 CLIA NUMBER - COMPASSUS - MID MISSISSIPPI

Laboratory Demographics

  • CLIA Code: 25D1056213
  • Facility Name: COMPASSUS - MID MISSISSIPPI
  • Facility Address: 120 W CHEROKEE STREET
    BROOKHAVEN, MS
    ZIP 39601
  • Facility Phone: 601 835-3363
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MELISSA RENFROE
  • NPI Number: 1386930113
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1056213
LAB Type Hospice
Facility Name COMPASSUS - MID MISSISSIPPI
Street 120 W CHEROKEE STREET
City BROOKHAVEN
State MS
ZIP 39601
Phone 601 835-3363
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Hospice
Lab Director MELISSA RENFROE

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