25D2303201 CLIA NUMBER - PIONEER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 25D2303201
  • Facility Name: PIONEER PEDIATRICS
  • Facility Address: 124 LAZY OAK LANE
    MADISON, MS
    ZIP 39110
  • Facility Phone: 601 606-2589
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JUSTIN M. LAY
  • NPI Number: 1558246579
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 25D2303201
LAB Type Physician Office
Facility Name PIONEER PEDIATRICS
Street 124 LAZY OAK LANE
City MADISON
State MS
ZIP 39110
Phone 601 606-2589
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director DR. JUSTIN M. LAY

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