25D0877548 CLIA NUMBER - RENAL CARE OF LEXINGTON

Laboratory Demographics

  • CLIA Code: 25D0877548
  • Facility Name: RENAL CARE OF LEXINGTON
  • Facility Address: 22579 DEPOT STREET
    LEXINGTON, MS
    ZIP 39095
  • Facility Phone: 662 834-3355
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: A R. WHITE MD
  • NPI Number: 1386690956
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0877548
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE OF LEXINGTON
Street 22579 DEPOT STREET
City LEXINGTON
State MS
ZIP 39095
Phone 662 834-3355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2023
Certificate Expiration Date 10/4/2025
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director A R. WHITE MD

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This page was last updated on: 6/4/2025