25D2113726 CLIA NUMBER - COMMUNITY HOSPICE LLC DBA COMMUNITY HOSPICE

Laboratory Demographics

  • CLIA Code: 25D2113726
  • Facility Name: COMMUNITY HOSPICE LLC DBA COMMUNITY HOSPICE
  • Facility Address: 100 PARKGATE DR EXT STE 103
    TUPELO, MS
    ZIP 38801
  • Facility Phone: 662 823-9850
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BRANDY WADDLE
  • NPI Number: 1619933819
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2113726
LAB Type Hospice
Facility Name COMMUNITY HOSPICE LLC DBA COMMUNITY HOSPICE
Street 100 PARKGATE DR EXT STE 103
City TUPELO
State MS
ZIP 38801
Phone 662 823-9850
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Hospice
Lab Director BRANDY WADDLE

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