25D0975412 CLIA NUMBER - DESOTO CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 25D0975412
  • Facility Name: DESOTO CHILDREN'S CLINIC
  • Facility Address: 7276 SOUTHCREST PARKWAY
    SOUTHAVEN, MS
    ZIP 38671
  • Facility Phone: 662 349-6577
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MEREDITH BROWN
  • NPI Number: 1326261843
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D0975412
LAB Type Physician Office
Facility Name DESOTO CHILDREN'S CLINIC
Street 7276 SOUTHCREST PARKWAY
City SOUTHAVEN
State MS
ZIP 38671
Phone 662 349-6577
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 1/26/2025
Certificate Expiration Date 1/25/2027
Facility Type Physician Office
Lab Director MEREDITH BROWN

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