25D2302585 CLIA NUMBER - ONE SOLUTION CEREBRAL WELLNESS, LLP

Laboratory Demographics

  • CLIA Code: 25D2302585
  • Facility Name: ONE SOLUTION CEREBRAL WELLNESS, LLP
  • Facility Address: 4063 GINGER DRIVE STE D
    DIBERVILLE, MS
    ZIP 39540
  • Facility Phone: 234 239-5999
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDI CARLSON
  • NPI Number: 1235999681
  • Taxonomy: 207RA0401X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D2302585
LAB Type Physician Office
Facility Name ONE SOLUTION CEREBRAL WELLNESS, LLP
Street 4063 GINGER DRIVE STE D
City DIBERVILLE
State MS
ZIP 39540
Phone 234 239-5999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director SANDI CARLSON

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