25D2265199 CLIA NUMBER - FORREST GENERAL HOME CARE & HOSPICE

Laboratory Demographics

  • CLIA Code: 25D2265199
  • Facility Name: FORREST GENERAL HOME CARE & HOSPICE
  • Facility Address: 304 S 40TH AVE
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 288-2500
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: REBECCA L. PARDUE
  • NPI Number: 1013002724
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2265199
LAB Type Hospice
Facility Name FORREST GENERAL HOME CARE & HOSPICE
Street 304 S 40TH AVE
City HATTIESBURG
State MS
ZIP 39402
Phone 601 288-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Hospice
Lab Director REBECCA L. PARDUE

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