25D2326641 CLIA NUMBER - ADR HOSPICE

Laboratory Demographics

  • CLIA Code: 25D2326641
  • Facility Name: ADR HOSPICE
  • Facility Address: 1213 BROAD STREET STE 2
    GULFPORT, MS
    ZIP 39501
  • Facility Phone: 228 206-6418
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LINDA K. SMITH
  • NPI Number: 1710778600
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 25D2326641
LAB Type Hospice
Facility Name ADR HOSPICE
Street 1213 BROAD STREET STE 2
City GULFPORT
State MS
ZIP 39501
Phone 228 206-6418
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/8/2025
Certificate Expiration Date 7/7/2027
Facility Type Hospice
Lab Director LINDA K. SMITH

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