25D2057634 CLIA NUMBER - NOTRE DAME HOSPICE OF MISSISSIPPI

Laboratory Demographics

  • CLIA Code: 25D2057634
  • Facility Name: NOTRE DAME HOSPICE OF MISSISSIPPI
  • Facility Address: 5407 INDIAN HILL BLVD
    DIAMONDHEAD, MS
    ZIP 39525
  • Facility Phone: 228 687-1385
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHANIE PARKER
  • NPI Number: 1609215391
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2057634
LAB Type Hospice
Facility Name NOTRE DAME HOSPICE OF MISSISSIPPI
Street 5407 INDIAN HILL BLVD
City DIAMONDHEAD
State MS
ZIP 39525
Phone 228 687-1385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Hospice
Lab Director STEPHANIE PARKER

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