25D0666537 CLIA NUMBER - RENAL CARE GROUP TUPELO, LLC DBA FRESENIUS MEDICAL CARE YOKNA RIVER

Laboratory Demographics

  • CLIA Code: 25D0666537
  • Facility Name: RENAL CARE GROUP TUPELO, LLC DBA FRESENIUS MEDICAL CARE YOKNA RIVER
  • Facility Address: 1770 BARRON STREET
    OXFORD, MS
    ZIP 38655
  • Facility Phone: 662 234-3412
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SON LAM
  • NPI Number: 1679685424
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0666537
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP TUPELO, LLC DBA FRESENIUS MEDICAL CARE YOKNA RIVER
Street 1770 BARRON STREET
City OXFORD
State MS
ZIP 38655
Phone 662 234-3412
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SON LAM

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