25D0855965 CLIA NUMBER - PEDIATRIC AND ADOLESCENT CLINIC

Laboratory Demographics

  • CLIA Code: 25D0855965
  • Facility Name: PEDIATRIC AND ADOLESCENT CLINIC
  • Facility Address: 308 HIGHLAND BLVD
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 442-7676
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID A. TIMM
  • NPI Number: 1366890238
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0855965
LAB Type Physician Office
Facility Name PEDIATRIC AND ADOLESCENT CLINIC
Street 308 HIGHLAND BLVD
City NATCHEZ
State MS
ZIP 39120
Phone 601 442-7676
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 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director DAVID A. TIMM

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