25D2257654 CLIA NUMBER - NP'S WITH IV'S HYDRATION AND WELLNESS

Laboratory Demographics

  • CLIA Code: 25D2257654
  • Facility Name: NP'S WITH IV'S HYDRATION AND WELLNESS
  • Facility Address: 13066 SHRINERS BLVD STE A
    BILOXI, MS
    ZIP 39532
  • Facility Phone: 228 333-0133
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GINA BUTLER
  • NPI Number: 1740920123
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2257654
LAB Type Practitioner Other
Facility Name NP'S WITH IV'S HYDRATION AND WELLNESS
Street 13066 SHRINERS BLVD STE A
City BILOXI
State MS
ZIP 39532
Phone 228 333-0133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Practitioner Other
Lab Director GINA BUTLER

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