25D2204031 CLIA NUMBER - SOUND MIND PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 25D2204031
  • Facility Name: SOUND MIND PSYCHIATRY
  • Facility Address: 105 W HAMILTON ST
    HOUSTON, MS
    ZIP 38851
  • Facility Phone: 662 542-3444
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: COLBY B. PONDER
  • NPI Number: 1174157689
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2204031
LAB Type Practitioner Other
Facility Name SOUND MIND PSYCHIATRY
Street 105 W HAMILTON ST
City HOUSTON
State MS
ZIP 38851
Phone 662 542-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Practitioner Other
Lab Director COLBY B. PONDER

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