25D2086327 CLIA NUMBER - OVATION WOMENS WELLNESS DBA OVATION WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 25D2086327
  • Facility Name: OVATION WOMENS WELLNESS DBA OVATION WELLNESS LLC
  • Facility Address: 111 COLONY CROSSING WAY STE 250
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 202-1340
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VALERIE HILDEBRAND
  • NPI Number: 1548688310
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 25D2086327
LAB Type Physician Office
Facility Name OVATION WOMENS WELLNESS DBA OVATION WELLNESS LLC
Street 111 COLONY CROSSING WAY STE 250
City MADISON
State MS
ZIP 39110
Phone 601 202-1340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Physician Office
Lab Director VALERIE HILDEBRAND

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