25D2285732 CLIA NUMBER - SYCAMORE PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 25D2285732
  • Facility Name: SYCAMORE PSYCHIATRY
  • Facility Address: 222 E MAIN STREET
    SENATOBIA, MS
    ZIP 38668
  • Facility Phone: 662 301-8683
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MELISSA PARRISH
  • NPI Number: 1467225953
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2285732
LAB Type Practitioner Other
Facility Name SYCAMORE PSYCHIATRY
Street 222 E MAIN STREET
City SENATOBIA
State MS
ZIP 38668
Phone 662 301-8683
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Practitioner Other
Lab Director MELISSA PARRISH

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