Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
25D1079695
|
|
Clinical laboratory number
|
|
Lab Name
|
DESOTO HEALTH AND WELLNESS CENTER, INC
|
|
Laboratory Name
|
|
Lab Type
|
Other
|
|
Laboratory Type
|
|
Certificate Type
|
N/S (NOT SPECIFIED)
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
662-393-9848
|
|
Laboratory telephone number
|
|
Fax
|
662-393-9858
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
8889 NORTHWEST DRIVE SUITE A
|
|
Primary location adress line
|
|
City
|
SOUTHAVEN
|
|
Primary location city name
|
|
State
|
MS
|
|
Primary location state name
|
|
Zip
|
38671
|
|
Primary location postal code
|