25D1072309 CLIA NUMBER - MERCY HOSPICE LLC DBA LEGACY HOSPICE OF THE SOUTH

Laboratory Demographics

  • CLIA Code: 25D1072309
  • Facility Name: MERCY HOSPICE LLC DBA LEGACY HOSPICE OF THE SOUTH
  • Facility Address: 1085 STARK RD STE F
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 338-0007
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KATIE SANDERS
  • NPI Number: 1902105976
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D1072309
LAB Type Hospice
Facility Name MERCY HOSPICE LLC DBA LEGACY HOSPICE OF THE SOUTH
Street 1085 STARK RD STE F
City STARKVILLE
State MS
ZIP 39759
Phone 662 338-0007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Hospice
Lab Director KATIE SANDERS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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