25D2266374 CLIA NUMBER - PICAYUNE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 25D2266374
  • Facility Name: PICAYUNE INTERNAL MEDICINE
  • Facility Address: 200 GOLF COURSE DR
    CARRIERE, MS
    ZIP 39426
  • Facility Phone: 601 699-9846
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AHMAD HAIDAR
  • NPI Number: 1033846068
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D2266374
LAB Type Physician Office
Facility Name PICAYUNE INTERNAL MEDICINE
Street 200 GOLF COURSE DR
City CARRIERE
State MS
ZIP 39426
Phone 601 699-9846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Physician Office
Lab Director DR. AHMAD HAIDAR

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