CLIA lab
CLIA 25D2024130: Trinity Pediatric Clinic PLLC
Jackson, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2024130 belongs to Trinity Pediatric Clinic PLLC in Jackson, MS.
Certificate of Waiver, effective May 10, 2025, expires May 9, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 10, 2025
- Certificate expiration
- May 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 2011
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2024130
- Lab name
- Trinity Pediatric Clinic PLLC
- Address
- 1860 Chadwick Drive Suite 205, Jackson, MS 39204
- Phone
- (601) 376-2857
- Fax
- (601) 376-2847
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Trinity Pediatric Clinic PLLC in Jackson?
25D2024130, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Trinity Pediatric Clinic PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 25D2024130 expire?
The CMS file lists May 9, 2027 as the certificate expiration date; the certificate took effect May 10, 2025.