25D2014169 CLIA NUMBER - SPECIALTY HOSPICE

Laboratory Demographics

  • CLIA Code: 25D2014169
  • Facility Name: SPECIALTY HOSPICE
  • Facility Address: 5924 PLEASANT HILL RD
    OLIVE BRANCH, MS
    ZIP 38654
  • Facility Phone: 662 420-7157
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. ACHIN SHARMA
  • NPI Number: 1609183292
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2014169
LAB Type Hospice
Facility Name SPECIALTY HOSPICE
Street 5924 PLEASANT HILL RD
City OLIVE BRANCH
State MS
ZIP 38654
Phone 662 420-7157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Hospice
Lab Director DR. ACHIN SHARMA

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