25D0946191 CLIA NUMBER - CONRAD PEARSON CLINIC, THE

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Field Name	Field Value
CLIA Number	25D0946191
LAB Type	Physician Office
Facility Name	CONRAD PEARSON CLINIC, THE
Street	125 GUTHRIE DRIVE
City	SOUTHAVEN
State	MS
ZIP	38671
Phone	662 349-1964
Certificate Type	Certificate of Accreditation
Certificate Type Description	This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date	7/3/2025
Certificate Expiration Date	7/2/2027
Facility Type	Physician Office
Lab Director	DR. VIBHA JAIN

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