25D2270881 CLIA NUMBER - HEADACHE SPECIALISTS PLLC, THE

Laboratory Demographics

  • CLIA Code: 25D2270881
  • Facility Name: HEADACHE SPECIALISTS PLLC, THE
  • Facility Address: 14231 SEAWAY RD STE 4001
    GULFPORT, MS
    ZIP 39503
  • Facility Phone: 228 213-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA P. WARREN
  • NPI Number: 1922724467
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 25D2270881
LAB Type Physician Office
Facility Name HEADACHE SPECIALISTS PLLC, THE
Street 14231 SEAWAY RD STE 4001
City GULFPORT
State MS
ZIP 39503
Phone 228 213-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Physician Office
Lab Director PAULA P. WARREN

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