CLIA lab
CLIA 25D1047034: Mid-Delta Hospice South Inc
Brookhaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1047034 belongs to Mid-Delta Hospice South Inc in Brookhaven, MS.
Certificate of Waiver, effective October 25, 2025, expires October 24, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 2005
- Facility type
- Hospice
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D1047034
- Lab name
- Mid-Delta Hospice South Inc
- Additional name
- DBA Bristol Hospice - Brookhaven
- Address
- 711 Brookway Blvd, Ste B, Brookhaven, MS 39601
- Phone
- (601) 691-9220
- Fax
- (601) 435-7118
Annual test volume the lab reported
- Waived tests
- 25
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Mid Delta Hospice South, Inc DBA Bristol Hospice - BrookhavenCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Mid-Delta Hospice South Inc in Brookhaven?
25D1047034, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mid-Delta Hospice South Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1047034 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.