25D1056373 CLIA NUMBER - COMPASSUS - HATTIESBURG

Laboratory Demographics

  • CLIA Code: 25D1056373
  • Facility Name: COMPASSUS - HATTIESBURG
  • Facility Address: 1700 S 28TH ST STE B
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 705-0360
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ASHLEY POWELL
  • NPI Number: 1457647216
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D1056373
LAB Type Hospice
Facility Name COMPASSUS - HATTIESBURG
Street 1700 S 28TH ST STE B
City HATTIESBURG
State MS
ZIP 39402
Phone 601 705-0360
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2024
Certificate Expiration Date 7/13/2026
Facility Type Hospice
Lab Director ASHLEY POWELL

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