25D0991179 CLIA NUMBER - PEACE CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 25D0991179
  • Facility Name: PEACE CHILDRENS CLINIC
  • Facility Address: 501 SPRINGRIDGE RD
    CLINTON, MS
    ZIP 39056
  • Facility Phone: 601 713-3900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LOUISA LAWSON
  • NPI Number: 1891975603
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0991179
LAB Type Physician Office
Facility Name PEACE CHILDRENS CLINIC
Street 501 SPRINGRIDGE RD
City CLINTON
State MS
ZIP 39056
Phone 601 713-3900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Physician Office
Lab Director DR. LOUISA LAWSON

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