25D0864118 CLIA NUMBER - PINE BELT DERMATOLOGY & SKIN CANCER CENTER

Laboratory Demographics

  • CLIA Code: 25D0864118
  • Facility Name: PINE BELT DERMATOLOGY & SKIN CANCER CENTER
  • Facility Address: 102 E HOSPITAL DR
    HATTIESBURG, MS
    ZIP 39402
  • Facility Phone: 601 475-9968
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DAVID B. ROY
  • NPI Number: 1477008431
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 25D0864118
LAB Type Physician Office
Facility Name PINE BELT DERMATOLOGY & SKIN CANCER CENTER
Street 102 E HOSPITAL DR
City HATTIESBURG
State MS
ZIP 39402
Phone 601 475-9968
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 11/16/2024
Certificate Expiration Date 11/15/2026
Facility Type Physician Office
Lab Director DR. DAVID B. ROY

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