25D2222226 CLIA NUMBER - LUCEDALE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 25D2222226
  • Facility Name: LUCEDALE PEDIATRICS
  • Facility Address: 2210 MILL ST EXT STE D
    LUCEDALE, MS
    ZIP 39452
  • Facility Phone: 601 953-3433
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JENNIFER FAILS
  • NPI Number: 1861690067
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 25D2222226
LAB Type Practitioner Other
Facility Name LUCEDALE PEDIATRICS
Street 2210 MILL ST EXT STE D
City LUCEDALE
State MS
ZIP 39452
Phone 601 953-3433
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Practitioner Other
Lab Director JENNIFER FAILS

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