25D2037275 CLIA NUMBER - COMPASSUS - JACKSON

Laboratory Demographics

  • CLIA Code: 25D2037275
  • Facility Name: COMPASSUS - JACKSON
  • Facility Address: 3900 LAKELAND DR STE 100
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 956-9755
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ASHLEY POWELL
  • NPI Number: 1184910945
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2037275
LAB Type Hospice
Facility Name COMPASSUS - JACKSON
Street 3900 LAKELAND DR STE 100
City FLOWOOD
State MS
ZIP 39232
Phone 601 956-9755
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Hospice
Lab Director ASHLEY POWELL

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