25D2178056 CLIA NUMBER - SKIN IN THE GAME, PLLC

Laboratory Demographics

  • CLIA Code: 25D2178056
  • Facility Name: SKIN IN THE GAME, PLLC
  • Facility Address: 6510 HIGHWAY 90, SUITE C
    GAUTIER, MS
    ZIP 39553
  • Facility Phone: 228 372-8559
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ANGELA B. WINGFIELD
  • NPI Number: 1760043046
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 25D2178056
LAB Type Physician Office
Facility Name SKIN IN THE GAME, PLLC
Street 6510 HIGHWAY 90, SUITE C
City GAUTIER
State MS
ZIP 39553
Phone 228 372-8559
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 1/24/2024
Certificate Expiration Date 1/23/2026
Facility Type Physician Office
Lab Director DR. ANGELA B. WINGFIELD

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