25D1009307 CLIA NUMBER - MICHELLE J GIBSON, MD, PLLC DBA THE KIDZ CARE KLINIC

Laboratory Demographics

  • CLIA Code: 25D1009307
  • Facility Name: MICHELLE J GIBSON, MD, PLLC DBA THE KIDZ CARE KLINIC
  • Facility Address: 5440 WATKINS DRIVE, SUITE B
    JACKSON, MS
    ZIP 39206
  • Facility Phone: 601 364-2726
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE J. GIBSON
  • NPI Number: 1659366854
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D1009307
LAB Type Physician Office
Facility Name MICHELLE J GIBSON, MD, PLLC DBA THE KIDZ CARE KLINIC
Street 5440 WATKINS DRIVE, SUITE B
City JACKSON
State MS
ZIP 39206
Phone 601 364-2726
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Physician Office
Lab Director MICHELLE J. GIBSON

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