25D2172025 CLIA NUMBER - REHOBOTH PSYCHIATRIC SERVICES, PLLC

Laboratory Demographics

  • CLIA Code: 25D2172025
  • Facility Name: REHOBOTH PSYCHIATRIC SERVICES, PLLC
  • Facility Address: 357 TOWNE CENTER PLACE STE 400
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 888 561-3380
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENEE PERRY
  • NPI Number: 1528265246
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 25D2172025
LAB Type Physician Office
Facility Name REHOBOTH PSYCHIATRIC SERVICES, PLLC
Street 357 TOWNE CENTER PLACE STE 400
City RIDGELAND
State MS
ZIP 39157
Phone 888 561-3380
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Physician Office
Lab Director RENEE PERRY

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