25D1046617 CLIA NUMBER - INTERNAL MEDICINE & PEDIATRIC ASSOCIATES PLLC

Laboratory Demographics

  • CLIA Code: 25D1046617
  • Facility Name: INTERNAL MEDICINE & PEDIATRIC ASSOCIATES PLLC
  • Facility Address: 6919 OLD CANTON RD
    RIDGELAND, MS
    ZIP 39157
  • Facility Phone: 601 956-0911
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: SHONDA F. STAMPS
  • NPI Number: 1558460642
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 25D1046617
LAB Type Physician Office
Facility Name INTERNAL MEDICINE & PEDIATRIC ASSOCIATES PLLC
Street 6919 OLD CANTON RD
City RIDGELAND
State MS
ZIP 39157
Phone 601 956-0911
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 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Physician Office
Lab Director SHONDA F. STAMPS

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