25D2119469 CLIA NUMBER - CHILDREN'S INTERNATIONAL, LLC DBA CHILDREN'S INTERNATIONAL MEDICAL

Laboratory Demographics

  • CLIA Code: 25D2119469
  • Facility Name: CHILDREN'S INTERNATIONAL, LLC DBA CHILDREN'S INTERNATIONAL MEDICAL
  • Facility Address: 3016 HWY 80
    MORTON, MS
    ZIP 39117
  • Facility Phone: 601 732-2382
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDUARDO J. HERNANDEZ
  • NPI Number: 1902358336
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2119469
LAB Type Physician Office
Facility Name CHILDREN'S INTERNATIONAL, LLC DBA CHILDREN'S INTERNATIONAL MEDICAL
Street 3016 HWY 80
City MORTON
State MS
ZIP 39117
Phone 601 732-2382
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2024
Certificate Expiration Date 9/26/2026
Facility Type Physician Office
Lab Director EDUARDO J. HERNANDEZ

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