CLIA lab

CLIA 25D2292301: Pediatric Place LLC

Ridgeland, MS. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 25D2292301 belongs to Pediatric Place LLC in Ridgeland, MS.

Certificate of Waiver, effective October 24, 2025, expires October 23, 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
October 24, 2025
Certificate expiration
October 23, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 24, 2023
Facility type
Other
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
25D2292301
Lab name
Pediatric Place LLC
Address
116 Marketridge Dr, Ridgeland, MS 39157
Phone
(601) 301-2082
Fax
(769) 888-4254

Annual test volume the lab reported

Waived tests
25

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Ridgeland, MS

Related

Questions

What is the CLIA number for Pediatric Place LLC in Ridgeland?

25D2292301, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Place LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 25D2292301 expire?

The CMS file lists October 23, 2027 as the certificate expiration date; the certificate took effect October 24, 2025.

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