25D2184439 CLIA NUMBER - DEFINING WELLNESS CENTERS

Laboratory Demographics

  • CLIA Code: 25D2184439
  • Facility Name: DEFINING WELLNESS CENTERS
  • Facility Address: 411 HANOVER CIRCLE
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 769 241-2601
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: DREW SMITH
  • NPI Number: 1053050591
  • Taxonomy: 2084B0040X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 25D2184439
LAB Type Independent
Facility Name DEFINING WELLNESS CENTERS
Street 411 HANOVER CIRCLE
City RIDGELAND
State MS
ZIP 39157
Phone 769 241-2601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Independent
Lab Director DREW SMITH

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