25D2150008 CLIA NUMBER - SERENITY PREMIER HOSPICE DBA SPECIALTY HOSPICE - CENTRAL MS

Laboratory Demographics

  • CLIA Code: 25D2150008
  • Facility Name: SERENITY PREMIER HOSPICE DBA SPECIALTY HOSPICE - CENTRAL MS
  • Facility Address: 3409 HALSS FERRY ROAD STE 1
    VICKSBURG, MS
    ZIP 39180
  • Facility Phone: 601 631-8060
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN TURNER
  • NPI Number: 1215315528
  • Taxonomy: 311ZA0620X - Custodial Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 25D2150008
LAB Type Hospice
Facility Name SERENITY PREMIER HOSPICE DBA SPECIALTY HOSPICE - CENTRAL MS
Street 3409 HALSS FERRY ROAD STE 1
City VICKSBURG
State MS
ZIP 39180
Phone 601 631-8060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Hospice
Lab Director DR. JUSTIN TURNER

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