25D2233036 CLIA NUMBER - DIGNITY HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 25D2233036
  • Facility Name: DIGNITY HOSPICE LLC
  • Facility Address: 121B W MONTICELLO ST
    BROOKHAVEN, MS
    ZIP 39601
  • Facility Phone: 601 748-7021
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DANIEL CAMPBELL
  • NPI Number: 1548690365
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2233036
LAB Type Hospice
Facility Name DIGNITY HOSPICE LLC
Street 121B W MONTICELLO ST
City BROOKHAVEN
State MS
ZIP 39601
Phone 601 748-7021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Hospice
Lab Director DANIEL CAMPBELL

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