25D2071114 CLIA NUMBER - CARING HANDS CHILDREN'S CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 25D2071114
  • Facility Name: CARING HANDS CHILDREN'S CLINIC, LLC
  • Facility Address: 149 JEFFERSON STREET S, STE D
    MONTICELLO, MS
    ZIP 39654
  • Facility Phone: 601 587-4304
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DEONTRANESE TAYLOR
  • NPI Number: 1639764020
  • Taxonomy: 363LP2300X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2071114
LAB Type Practitioner Other
Facility Name CARING HANDS CHILDREN'S CLINIC, LLC
Street 149 JEFFERSON STREET S, STE D
City MONTICELLO
State MS
ZIP 39654
Phone 601 587-4304
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2024
Certificate Expiration Date 1/2/2026
Facility Type Practitioner Other
Lab Director DEONTRANESE TAYLOR

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