25D2327159 CLIA NUMBER - DIVINITY HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 25D2327159
  • Facility Name: DIVINITY HEALTHCARE INC
  • Facility Address: 99 WINCHESTER DR UNIT K
    WEST POINT, MS
    ZIP 39773
  • Facility Phone: 662 524-3707
  • Facility Type: Other - PRIMARY FAMILY CARE
  • Facility Type: Waiver
  • Lab Director: TRINITY J. CHERRY
  • NPI Number: 1396567301
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2327159
LAB Type Other - PRIMARY FAMILY CARE
Facility Name DIVINITY HEALTHCARE INC
Street 99 WINCHESTER DR UNIT K
City WEST POINT
State MS
ZIP 39773
Phone 662 524-3707
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Other - PRIMARY FAMILY CARE
Lab Director TRINITY J. CHERRY

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