25D2286914 CLIA NUMBER - GENTLE BUTTERFLY MPS LLC

Laboratory Demographics

  • CLIA Code: 25D2286914
  • Facility Name: GENTLE BUTTERFLY MPS LLC
  • Facility Address: 5735 STONECREST DR
    OLIVE BRANCH, MS
    ZIP 38654
  • Facility Phone: 662 879-7712
  • Facility Type: Other - MOBILE PHLEBOTOMIST
  • Facility Type: Waiver
  • Lab Director: VICKIE DAVIS
  • NPI Number: 1487331997
  • Taxonomy: 246RP1900X - Technician, Pathology

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CLIA Record

Field Name Field Value
CLIA Number 25D2286914
LAB Type Other - MOBILE PHLEBOTOMIST
Facility Name GENTLE BUTTERFLY MPS LLC
Street 5735 STONECREST DR
City OLIVE BRANCH
State MS
ZIP 38654
Phone 662 879-7712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Other - MOBILE PHLEBOTOMIST
Lab Director VICKIE DAVIS

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