25D2040442 CLIA NUMBER - FIRST COUNSELING INC

Laboratory Demographics

  • CLIA Code: 25D2040442
  • Facility Name: FIRST COUNSELING INC
  • Facility Address: 6888 GOODMAN RD STE 122
    OLIVE BRANCH, MS
    ZIP 38654
  • Facility Phone: 662 349-6385
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DENISE PRATT
  • NPI Number: 1831321660
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 25D2040442
LAB Type Physician Office
Facility Name FIRST COUNSELING INC
Street 6888 GOODMAN RD STE 122
City OLIVE BRANCH
State MS
ZIP 38654
Phone 662 349-6385
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DENISE PRATT

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