CLIA lab
CLIA 25D2035296: King's Daughters Pediatric and Adolescent Clinic
Brookhaven, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 25D2035296 belongs to King's Daughters Pediatric and Adolescent Clinic in Brookhaven, MS.
Certificate of Compliance, effective June 18, 2026, expires June 17, 2028.
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 Compliance
- Certificate effective
- June 18, 2026
- Certificate expiration
- June 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 2012
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 25D2035296
- Lab name
- King's Daughters Pediatric and Adolescent Clinic
- Address
- 509 Brookman Drive, Brookhaven, MS 39601
- Phone
- (601) 823-5204
- Fax
- (601) 833-1224
Annual test volume the lab reported
- Waived tests
- 600
- Other nonwaived tests
- 3,630
- Total
- 4,230
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Brookhaven, MS
- 84 Health and WellnessCertificate of Waiver, Physician office25D2260302
- Anointed Nephrology & HTN, PLLCCertificate of Waiver, Physician office25D2025141
- Brookhaven Anesthesia & Pain Mgmt AssocCertificate of Waiver, Physician office25D2158329
- Brookhaven ChiropracticCertificate of Waiver, Physician office25D2083291
- Brookhaven Diabetes & Primary Care ClinicCertificate of Waiver, Physician office25D2332015
- Brookhaven Ear Nose Throat PACertificate of Waiver, Physician office25D1076717
- Brookhaven Health and WellnessCertificate of Waiver, Other practitioner25D2081937
- Brookhaven Health and Wellness Urgent CareCertificate of Waiver, Physician office25D2118719
- Brookhaven Internal Medicine PACertificate of Waiver, Physician office25D0878508
- Brookhaven UrologyCertificate of Compliance, Physician office25D0319979
Related
Questions
What is the CLIA number for King's Daughters Pediatric and Adolescent Clinic in Brookhaven?
25D2035296, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does King's Daughters Pediatric and Adolescent Clinic hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 25D2035296 expire?
The CMS file lists June 17, 2028 as the certificate expiration date; the certificate took effect June 18, 2026.