25D2041517 CLIA NUMBER - CORNERSTONE PALLIATIVE AND HOSPICE LLC DBA BAPTIST HOSPICE

Laboratory Demographics

  • CLIA Code: 25D2041517
  • Facility Name: CORNERSTONE PALLIATIVE AND HOSPICE LLC DBA BAPTIST HOSPICE
  • Facility Address: 1200 NORTH STATE STREET SUITE 480
    JACKSON, MS
    ZIP 39202
  • Facility Phone: 601 933-0053
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMANDA HOUCK
  • NPI Number: 1326397241
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2041517
LAB Type Hospice
Facility Name CORNERSTONE PALLIATIVE AND HOSPICE LLC DBA BAPTIST HOSPICE
Street 1200 NORTH STATE STREET SUITE 480
City JACKSON
State MS
ZIP 39202
Phone 601 933-0053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Hospice
Lab Director AMANDA HOUCK

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