25D2307106 CLIA NUMBER - MINDWORKS WELLNESS

Laboratory Demographics

  • CLIA Code: 25D2307106
  • Facility Name: MINDWORKS WELLNESS
  • Facility Address: 124 SUMMER STREET, STE D
    LUCEDALE, MS
    ZIP 39452
  • Facility Phone: 601 530-5317
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: FELICIA M. MCNEIL
  • NPI Number: 1265104780
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2307106
LAB Type Practitioner Other
Facility Name MINDWORKS WELLNESS
Street 124 SUMMER STREET, STE D
City LUCEDALE
State MS
ZIP 39452
Phone 601 530-5317
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Practitioner Other
Lab Director FELICIA M. MCNEIL

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