25D0969542 CLIA NUMBER - NARAYANAN PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 25D0969542
  • Facility Name: NARAYANAN PEDIATRIC CLINIC
  • Facility Address: 3964 GOODMAN ROAD, SUITE 133
    SOUTHAVEN, MS
    ZIP 38672
  • Facility Phone: 662 895-9498
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MANOJ NARAYANAN
  • NPI Number: 1043244163
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0969542
LAB Type Physician Office
Facility Name NARAYANAN PEDIATRIC CLINIC
Street 3964 GOODMAN ROAD, SUITE 133
City SOUTHAVEN
State MS
ZIP 38672
Phone 662 895-9498
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 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Physician Office
Lab Director MANOJ NARAYANAN

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