25D2181438 CLIA NUMBER - ABUNDANT WELLNESS

Laboratory Demographics

  • CLIA Code: 25D2181438
  • Facility Name: ABUNDANT WELLNESS
  • Facility Address: 101 W WASHINGTON ST STE C1
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 601 856-2383
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DANA M. GERMANY
  • NPI Number: 1629548359
  • Taxonomy: 363L00000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2181438
LAB Type Practitioner Other
Facility Name ABUNDANT WELLNESS
Street 101 W WASHINGTON ST STE C1
City RIDGELAND
State MS
ZIP 39157
Phone 601 856-2383
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Practitioner Other
Lab Director DANA M. GERMANY

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