25D1019505 CLIA NUMBER - LAUREL SURGERY AND ENDOSCOPY CENTER LLC

Laboratory Demographics

  • CLIA Code: 25D1019505
  • Facility Name: LAUREL SURGERY AND ENDOSCOPY CENTER LLC
  • Facility Address: 1710 WEST 12TH STREET
    LAUREL, MS
    ZIP 39440
  • Facility Phone: 601 369-2021
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHAD E. SAUL
  • NPI Number: 1689605826
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 25D1019505
LAB Type Ambulatory Surgery Center
Facility Name LAUREL SURGERY AND ENDOSCOPY CENTER LLC
Street 1710 WEST 12TH STREET
City LAUREL
State MS
ZIP 39440
Phone 601 369-2021
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2023
Certificate Expiration Date 11/19/2025
Facility Type Ambulatory Surgery Center
Lab Director CHAD E. SAUL

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