25D2306848 CLIA NUMBER - INNOVATIVE HEALTHCARE MANAGEMENT,LLC

Laboratory Demographics

  • CLIA Code: 25D2306848
  • Facility Name: INNOVATIVE HEALTHCARE MANAGEMENT,LLC
  • Facility Address: 3078 HIGHWAY 98 E
    MCCOMB, MS
    ZIP 39648
  • Facility Phone: 601 205-9994
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: KATRINA DRYER
  • NPI Number: 1467495234
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 25D2306848
LAB Type Practitioner Other
Facility Name INNOVATIVE HEALTHCARE MANAGEMENT,LLC
Street 3078 HIGHWAY 98 E
City MCCOMB
State MS
ZIP 39648
Phone 601 205-9994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Practitioner Other
Lab Director KATRINA DRYER

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