25D0975653 CLIA NUMBER - RENAL CARE OF CARTHAGE

Laboratory Demographics

  • CLIA Code: 25D0975653
  • Facility Name: RENAL CARE OF CARTHAGE
  • Facility Address: 312 ELLIS STREET
    CARTHAGE, MS
    ZIP 39051
  • Facility Phone: 601 267-6856
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: MARK KLEIN
  • NPI Number: 1912952110
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D0975653
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RENAL CARE OF CARTHAGE
Street 312 ELLIS STREET
City CARTHAGE
State MS
ZIP 39051
Phone 601 267-6856
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2024
Certificate Expiration Date 7/12/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director MARK KLEIN

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