25D0976114 CLIA NUMBER - NATCHEZ PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 25D0976114
  • Facility Name: NATCHEZ PEDIATRIC CLINIC
  • Facility Address: 136 JEFFERSON DAVIS BLVD SUITE A
    NATCHEZ, MS
    ZIP 39120
  • Facility Phone: 601 442-5439
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DANITA R. WEARY
  • NPI Number: 1033210315
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D0976114
LAB Type Physician Office
Facility Name NATCHEZ PEDIATRIC CLINIC
Street 136 JEFFERSON DAVIS BLVD SUITE A
City NATCHEZ
State MS
ZIP 39120
Phone 601 442-5439
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 5/3/2025
Certificate Expiration Date 5/2/2027
Facility Type Physician Office
Lab Director DANITA R. WEARY

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