25D0969589 CLIA NUMBER - SUNSHINE CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 25D0969589
  • Facility Name: SUNSHINE CHILDREN'S CLINIC
  • Facility Address: 156 RIVER OAKS DRIVE, SUITE A
    CANTON, MS
    ZIP 39046
  • Facility Phone: 601 855-5287
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIBTRA VIG
  • NPI Number: 1255424016
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0969589
LAB Type Physician Office
Facility Name SUNSHINE CHILDREN'S CLINIC
Street 156 RIVER OAKS DRIVE, SUITE A
City CANTON
State MS
ZIP 39046
Phone 601 855-5287
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2024
Certificate Expiration Date 1/19/2026
Facility Type Physician Office
Lab Director VIBTRA VIG

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