25D2287579 CLIA NUMBER - COAST PEDIATRICS

Laboratory Demographics

  • CLIA Code: 25D2287579
  • Facility Name: COAST PEDIATRICS
  • Facility Address: 5605 HWY 614 #B
    MOSS POINT, MS
    ZIP 39562
  • Facility Phone: 228 273-0400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARGARET F. PAETZ
  • NPI Number: 1508547472
  • Taxonomy: 363LP0200X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 25D2287579
LAB Type Physician Office
Facility Name COAST PEDIATRICS
Street 5605 HWY 614 #B
City MOSS POINT
State MS
ZIP 39562
Phone 228 273-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director MARGARET F. PAETZ

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