25D2287487 CLIA NUMBER - DESIGN YOUR WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 25D2287487
  • Facility Name: DESIGN YOUR WELLNESS LLC
  • Facility Address: 7040 WINDSTONE BLVD STE 150
    OLIVE BRANCH, MS
    ZIP 38654
  • Facility Phone: 901 484-9099
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KAMIKA S. WALL
  • NPI Number: 1033989330
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2287487
LAB Type Practitioner Other
Facility Name DESIGN YOUR WELLNESS LLC
Street 7040 WINDSTONE BLVD STE 150
City OLIVE BRANCH
State MS
ZIP 38654
Phone 901 484-9099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Practitioner Other
Lab Director KAMIKA S. WALL

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