25D2286915 CLIA NUMBER - SOLSTICE DERMATOLOGY PLLC

Laboratory Demographics

  • CLIA Code: 25D2286915
  • Facility Name: SOLSTICE DERMATOLOGY PLLC
  • Facility Address: 1675 LAKELAND DR STE 200
    JACKSON, MS
    ZIP 39216
  • Facility Phone: 769 768-7546
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ASHLEY EMERSON
  • NPI Number: 1003518663
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 25D2286915
LAB Type Physician Office
Facility Name SOLSTICE DERMATOLOGY PLLC
Street 1675 LAKELAND DR STE 200
City JACKSON
State MS
ZIP 39216
Phone 769 768-7546
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 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Physician Office
Lab Director DR. ASHLEY EMERSON

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