25D0320296 CLIA NUMBER - STARKVILLE PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 25D0320296
  • Facility Name: STARKVILLE PEDIATRIC CLINIC
  • Facility Address: #5 PROFESSIONAL PLAZA
    STARKVILLE, MS
    ZIP 39759
  • Facility Phone: 662 323-0999
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. PAUL L. RUFF
  • NPI Number: 1477660520
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D0320296
LAB Type Physician Office
Facility Name STARKVILLE PEDIATRIC CLINIC
Street #5 PROFESSIONAL PLAZA
City STARKVILLE
State MS
ZIP 39759
Phone 662 323-0999
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 1/15/2024
Certificate Expiration Date 1/14/2026
Facility Type Physician Office
Lab Director DR. PAUL L. RUFF

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