25D2199134 CLIA NUMBER - ARDEN OF NORTH MISSISSIPPI LLC

Laboratory Demographics

  • CLIA Code: 25D2199134
  • Facility Name: ARDEN OF NORTH MISSISSIPPI LLC
  • Facility Address: 9035 E SANDIDGE RD STE 102
    OLIVE BRANCH, MS
    ZIP 38654
  • Facility Phone: 662 893-5662
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NILES LOVELADY
  • NPI Number: 1891764890
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2199134
LAB Type Hospice
Facility Name ARDEN OF NORTH MISSISSIPPI LLC
Street 9035 E SANDIDGE RD STE 102
City OLIVE BRANCH
State MS
ZIP 38654
Phone 662 893-5662
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Hospice
Lab Director NILES LOVELADY

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