25D2131108 CLIA NUMBER - ARDEN OF SOUTH MISSISSIPPI LLC

Laboratory Demographics

  • CLIA Code: 25D2131108
  • Facility Name: ARDEN OF SOUTH MISSISSIPPI LLC
  • Facility Address: 1310 S MAIN ST
    POPLARVILLE, MS
    ZIP 39470
  • Facility Phone: 601 403-8922
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA DAVIS
  • NPI Number: 1023530904
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2131108
LAB Type Hospice
Facility Name ARDEN OF SOUTH MISSISSIPPI LLC
Street 1310 S MAIN ST
City POPLARVILLE
State MS
ZIP 39470
Phone 601 403-8922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Hospice
Lab Director LISA DAVIS

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