CLIA lab
CLIA 25D1047042: Mid-Delta Hospice North Inc
Clarksdale, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D1047042 belongs to Mid-Delta Hospice North Inc in Clarksdale, 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
- 25D1047042
- Lab name
- Mid-Delta Hospice North Inc
- Additional name
- DBA Bristol Hospice - Southaven
- Address
- 617 N State St, Clarksdale, MS 38614
- Phone
- (662) 399-2860
- Fax
- (662) 901-2048
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.
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Related
Questions
What is the CLIA number for Mid-Delta Hospice North Inc in Clarksdale?
25D1047042, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mid-Delta Hospice North Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D1047042 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.