25D2110806 CLIA NUMBER - TRUTH INTEGRATIVE MEDICINE

Laboratory Demographics

  • CLIA Code: 25D2110806
  • Facility Name: TRUTH INTEGRATIVE MEDICINE
  • Facility Address: 252 KATHERINE DR STE A
    FLOWOOD, MS
    ZIP 39232
  • Facility Phone: 601 882-5801
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATTIE SIMS
  • NPI Number: 1023477395
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2110806
LAB Type Physician Office
Facility Name TRUTH INTEGRATIVE MEDICINE
Street 252 KATHERINE DR STE A
City FLOWOOD
State MS
ZIP 39232
Phone 601 882-5801
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director PATTIE SIMS

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