25D0693231 CLIA NUMBER - RENAL CARE GROUP-MERIDIAN

Laboratory Demographics

  • CLIA Code: 25D0693231
  • Facility Name: RENAL CARE GROUP-MERIDIAN
  • Facility Address: 2205 HIGHWAY 39 NORTH
    MERIDIAN, MS
    ZIP 39301
  • Facility Phone: 601 483-0606
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. OTIS GOWDY
  • NPI Number: 1033221882
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0693231
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE GROUP-MERIDIAN
Street 2205 HIGHWAY 39 NORTH
City MERIDIAN
State MS
ZIP 39301
Phone 601 483-0606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. OTIS GOWDY

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