25D0969542 CLIA NUMBER - NARAYANAN PEDIATRIC CLINIC

Laboratory Demographics

CLIA Number: 25D0969542

Facility Name: NARAYANAN PEDIATRIC CLINIC

Facility Address:
3964 GOODMAN ROAD, SUITE 133
SOUTHAVEN, MS
ZIP 38672
Get Directions

Facility Phone Number: 662 895-9498

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1043244163

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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
CertificateType	2
CertificateEffectiveDate	9/5/2023
CertificateExpirationDate	9/4/2025
FacilityType	Compliance

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024