25D2182123 CLIA NUMBER - HEARTLAND PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 25D2182123
  • Facility Name: HEARTLAND PEDIATRICS, LLC
  • Facility Address: 13472 VIDALIA ROAD
    PASS CHRISTIAN, MS
    ZIP 39571
  • Facility Phone: 228 222-2988
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ERIN F. BLANCHETTE
  • NPI Number: 1437781010
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2182123
LAB Type Practitioner Other
Facility Name HEARTLAND PEDIATRICS, LLC
Street 13472 VIDALIA ROAD
City PASS CHRISTIAN
State MS
ZIP 39571
Phone 228 222-2988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Practitioner Other
Lab Director ERIN F. BLANCHETTE

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