25D2290784 CLIA NUMBER - HEALSAFE WOUND CLINIC LLC

Laboratory Demographics

  • CLIA Code: 25D2290784
  • Facility Name: HEALSAFE WOUND CLINIC LLC
  • Facility Address: 1770 HWY 33
    FAYETTE, MS
    ZIP 39069
  • Facility Phone: 601 431-6406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MOSES C. YOUNG
  • NPI Number: 1750063848
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2290784
LAB Type Physician Office
Facility Name HEALSAFE WOUND CLINIC LLC
Street 1770 HWY 33
City FAYETTE
State MS
ZIP 39069
Phone 601 431-6406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director DR. MOSES C. YOUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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