25D0316415 CLIA NUMBER - PRAVINCHANDRA P PATEL MDPC

Laboratory Demographics

  • CLIA Code: 25D0316415
  • Facility Name: PRAVINCHANDRA P PATEL MDPC
  • Facility Address: 431 CENTRAL AVE
    COLDWATER, MS
    ZIP 38618
  • Facility Phone: 662 622-7011
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: PRAVINCHANDRA P. PATEL
  • NPI Number: 1255645131
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0316415
LAB Type Physician Office
Facility Name PRAVINCHANDRA P PATEL MDPC
Street 431 CENTRAL AVE
City COLDWATER
State MS
ZIP 38618
Phone 662 622-7011
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director PRAVINCHANDRA P. PATEL

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