25D2213069 CLIA NUMBER - OMNIS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 25D2213069
  • Facility Name: OMNIS HEALTH CLINIC
  • Facility Address: 34 GLENWOOD DR
    COLUMBUS, MS
    ZIP 39705
  • Facility Phone: 662 570-1166
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. GREGORY D. CLARK
  • NPI Number: 1497141337
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2213069
LAB Type Physician Office
Facility Name OMNIS HEALTH CLINIC
Street 34 GLENWOOD DR
City COLUMBUS
State MS
ZIP 39705
Phone 662 570-1166
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/20/2024
Certificate Expiration Date 2/19/2026
Facility Type Physician Office
Lab Director DR. GREGORY D. CLARK

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